Myocardial perfusion scintigraphy: the evidence. A consensus conference organised by the British Cardiac Society, the British Nuclear Cardiology Society and the British Nuclear Medicine Society, endorsed by the Royal College of Physicians of London and the Royal College of Radiologists
This review summarises the evidence for the role of myocardial perfusion scintigraphy (MPS) in patients with known or suspected coronary artery disease. It is the product of a consensus conference organised by the British Cardiac Society, the British Nuclear Cardiology Society and the British Nuclear Medicine Society and is endorsed by the Royal College of Physicians of London and the Royal College of Radiologists. It was used to inform the UK National Institute of Clinical Excellence in their appraisal of MPS in patients with chest pain and myocardial infarction. MPS is a well-established, non-invasive imaging technique with a large body of evidence to support its effectiveness in the diagnosis and management of angina and myocardial infarction. It is more accurate than the exercise ECG in detecting myocardial ischaemia and it is the single most powerful technique for predicting future coronary events. The high diagnostic accuracy of MPS allows reliable risk stratification and guides the selection of patients for further interventions, such as revascularisation. This in turn allows more appropriate utilisation of resources, with the potential for both improved clinical outcomes and greater cost-effectiveness. Evidence from modelling and observational studies supports the enhanced cost-effectiveness associated with MPS use. In patients presenting with stable or acute chest pain, strategies of investigation involving MPS are more cost-effective than those not using the technique. MPS also has particular advantages over alternative techniques in the management of a number of patient subgroups, including women, the elderly and those with diabetes, and its use will have a favourable impact on cost-effectiveness in these groups. MPS is already an integral part of many clinical guidelines for the investigation and management of angina and myocardial infarction. However, the technique is underutilised in the UK, as judged by the inappropriately long waiting times and by
Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE).
Sandoe, Jonathan A T; Barlow, Gavin; Chambers, John B; Gammage, Michael; Guleri, Achyut; Howard, Philip; Olson, Ewan; Perry, John D; Prendergast, Bernard D; Spry, Michael J; Steeds, Richard P; Tayebjee, Muzahir H; Watkin, Richard
Infections related to implantable cardiac electronic devices (ICEDs), including pacemakers, implantable cardiac defibrillators and cardiac resynchronization therapy devices, are increasing in incidence in the USA and are likely to increase in the UK, because more devices are being implanted. These devices have both intravascular and extravascular components and infection can involve the generator, device leads and native cardiac structures or various combinations. ICED infections can be life-threatening, particularly when associated with endocardial infection, and all-cause mortality of up to 35% has been reported. Like infective endocarditis, ICED infections can be difficult to diagnose and manage. This guideline aims to (i) improve the quality of care provided to patients with ICEDs, (ii) provide an educational resource for all relevant healthcare professionals, (iii) encourage a multidisciplinary approach to ICED infection management, (iv) promote a standardized approach to the diagnosis, management, surveillance and prevention of ICED infection through pragmatic evidence-rated recommendations, and (v) advise on future research projects/audit. The guideline is intended to assist in the clinical care of patients with suspected or confirmed ICED infection in the UK, to inform local infection prevention and treatment policies and guidelines and to be used in the development of educational and training material by the relevant professional societies. The questions covered by the guideline are presented at the beginning of each section.
Turner, Bryan S
The following is the lecture given for the BJS 2005 Public Sociology Debate given at the London School of Economics and Political Science on ll October 2005. This lecture on the character of British sociology provides a pretext for a more general inquiry into public intellectual life in postwar Britain. The argument put forward falls into several distinctive sections. First, British social science has depended heavily on the migration of intellectuals, especially Jewish intellectuals who were refugees from fascism. Second, intellectual innovation requires massive, disruptive, violent change. Third, British sociology did nevertheless give rise to a distinctive tradition of social criticism in which one can argue there were (typically home-grown) public intellectuals. The main theme of their social criticism was to consider the constraining and divisive impact of social class, race and gender on the enjoyment of expanding social citizenship. Fourth, postwar British sociology came to be dominated by the analysis of an affluent consumer society. Finally, the main failure of British sociology in this postwar period was the absence of any sustained, macro-sociological analysis of the historical decline of Britain as a world power in the twentieth century.
A joint meeting of the Anatomical Society of Great Britain and Ireland and the British Biophysical Society was held at the School of Biomedical Sciences, University of Leeds, from 5th to 7th January 1999. It included a symposium on 'Structure and function of molecular motors' and the Annual General Meetings of both Societies. The following are abstracts of communications and posters presented at the meeting. PMID:17103658
Jackson, M E
The Annual Congress of the British Society for Immunology was well attended with over 1000 British scientists converging on the small Yorkshire town of Harrogate. Wide-ranging and varied, the topics covered included the biochemistry of signaling as well as sessions examining dietary influences upon mucosal immunity. The plenary session on the morning of Wednesday 6 December focused on immunology at the cell surface, where many speakers discussed the role of lipid rafts in immune cell signaling. A session of particular interest followed the plenary session, hosted by the Vaccine Immunology Group. Discussion centered around a number of novel vaccines currently under development, with the emphasis on finding alternatives to the use of hypodermic needles. A number of interesting posters affiliated to this session reflected the high quality of the research presented at the meeting in general. PMID:16025384
Hartley, James; Benjamin, Michele
Background. In 1997 four journals published by the British Psychological Society - the British Journal of Clinical Psychology, the British Journal of Educational Psychology, the British Journal of Health Psychology, and Legal and Criminological Psychology - began publishing structured abstracts. Aims. The aim of the studies reported here was to assess the effectiveness of these structured abstracts by comparing them with original versions written in a traditional, unstructured, format. Meth...
Sharif, Mohammad O
This paper describes the orthodontic treatment of two cases that were successful in winning the British Orthodontic Society (BOS) Membership in Orthodonitcs (MOrth) cases prize in 2014. The first case describes the management of a 26-year-old female with a Class II division 2 incisor relationship on a Class III skeletal base with reduced vertical proportions. This was complicated by: an unerupted ectopic palatally displaced upper right permanent canine, an erupted palatally displaced upper left permanent canine, retained deciduous canines, generalised microdontia, an overall Bolton tooth size discrepancy, mild crowding in the upper arch, an increased overbite (complete to tooth tissue) and crossbites. Treatment involved a surgical exposure of the ectopic canine and the use of fixed pre-adjusted edgewise appliances over a period of 24 months. The second case describes the management of a 12-year-old female with a Class II division 2 incisor relationship on a Class 2 skeletal base with reduced vertical proportions. This was complicated by: an increased overjet and overbite (complete to soft tissue), mild upper and lower arch crowding and an increased naso-labial angle. Treatment involved an initial phase of modified Clark Twin Block and sectional fixed appliances followed by complete fixed pre-adjusted edgewise appliances over a period of 24 months.
Sharif, Mohammad O
This paper describes the orthodontic treatment of two cases that were successful in winning the British Orthodontic Society (BOS) Membership in Orthodonitcs (MOrth) cases prize in 2014. The first case describes the management of a 26-year-old female with a Class II division 2 incisor relationship on a Class III skeletal base with reduced vertical proportions. This was complicated by: an unerupted ectopic palatally displaced upper right permanent canine, an erupted palatally displaced upper left permanent canine, retained deciduous canines, generalised microdontia, an overall Bolton tooth size discrepancy, mild crowding in the upper arch, an increased overbite (complete to tooth tissue) and crossbites. Treatment involved a surgical exposure of the ectopic canine and the use of fixed pre-adjusted edgewise appliances over a period of 24 months. The second case describes the management of a 12-year-old female with a Class II division 2 incisor relationship on a Class 2 skeletal base with reduced vertical proportions. This was complicated by: an increased overjet and overbite (complete to soft tissue), mild upper and lower arch crowding and an increased naso-labial angle. Treatment involved an initial phase of modified Clark Twin Block and sectional fixed appliances followed by complete fixed pre-adjusted edgewise appliances over a period of 24 months. PMID:27086722
<正>Although the British Monarch has already lost its true powe to govern the country,it is still a key element in British societ and culture for its specialty in the country.Admittedly,the British Monarch has no substantial right t nominate the cabinet and deal with some other important politica issues.What it can do is to work as a symbol in some importan ceremonies.Its power is just a form,or a symbol,and in essence
Howell, W M; Harmer, A; Briggs, D; Dyer, P; Fuggle, S V; Martin, S; Sinnott, P; Smith, J; Taylor, C J; Vaughan, R
Ongoing technological developments in antibody detection and characterisation allowing relative quantitation of HLA-specific antibody levels, combined with crossmatch results, now allow a graded assessment of patient potential donor immunological risk for allotransplantation, rather than a simple 'positive' or 'negative' categorization of crossmatch results. These developments have driven a thorough revision of the British Society for Histocompatibility & Immunogenetics and British Transplantation Society Guidelines for the Detection and Characterisation of Clinically Relevant Antibodies in Allotransplantation. These newly published revised Guidelines contain a number of recommendations as to best practice for antibody detection and crossmatching for the transplantation of a wide range of solid organs and tissues. These recommendations are briefly summarized in this article.
Used social network theory to analyze perceptions of the role played by social network members in the adjustment of African college students to British society. The composition of students' networks was largely other African students, and contact among them was dense. Students considered this contact supportive but sometimes stressful. Students'…
Baldwin, David R; Callister, Matthew E J
The British Thoracic Society guideline for the investigation and management of pulmonary nodules is published as a supplement to this edition of the journal. It provides recommendations for the management of an individual with single or multiple pulmonary nodules and is a comprehensive reference text.
King, P H
This paper describes certain aspects of the life and work of Melanie Klein in the British Psycho-Analytical Society. It attempts to highlight the reciprocity of the relationship between Melanie Klein and other members of that Society by showing how the climate of psychoanalytical opinion that was prevalent among members of that Society during the first decade of her stay in London, and which encouraged discussion of clinical work and interest in psychoanalytical discovery, provided a congenial setting for her to become firmly established as an active member of the British Society and to continue her contributions to psychoanalytic theory and clinical expertise. The paper also traces the development of Melanie Klein's main theoretical contributions, together with relevant criticisms of them as they emerged, against the background of the history of the British Psycho-Analytical Society. It describes the controversies that arose as to whether or not her ideas could properly be viewed within the framework of psychoanalytic theory, as formulated by Freud, and the attempted resolution of these controversies, together with some comments on the repercussions of these theoretical disagreements on relationships within the Society. An extensive list of references is included to facilitate a more detailed study of the subject.
Set in 1912, the 3-act drama relates a celebration party in the prosperous Birling family for the engagement between Miss Birling and Mr. Gerald Croft, when it is interrupted by an unexpected visitor who addresses himself as"Inspector Goole". My essay details about character analyses of the family members through which one learns how the vices reflected in the family result in the tragedy and the looming collapse of British upper-class society.
Objective: To compare the efficacy of British Thoracic Society and American Thoracic Society guidelines for re-introduction of anti-tuberculous therapy after drug-induced liver injury, and to assess the ease of administration of each guideline on a scale of 1-10. Methods: The randomised prospective interventional study was conducted at the Department of Medicine and Pulmonology, Dow University of Health Sciences, Karachi, from December 2011 to November 2013. Patients with anti-tuberculous therapy drug-induced liver injury were selected. Hepatotoxic anti-tuberculous therapy was stopped and modified anti-tuberculous therapy was started. Patients were followed weekly till clinical and biochemical parameters got stabilised. After stabilisation, the patients were randomised to one of the two groups to receive re-introduction of anti-tuberculous therapy under the guidelines of British Thoracic Society (Group I) or those of American Thoracic Society (Group II). Means of the groups were analysed by Student's t test and proportions were compared by chi-square test. Multivariate analysis was done for age, body mass index and serum albumin for recurrence of drug-induced liver injury after the re-introduction. P value <0.05 was taken as significant. Results: Of the total 325 patients, 163(50.15%) were in Group I, while 162(49.84%) were in Group II. The frequency of recurrence of drug-induced liver injury in Group I was 16 (9.8%) and in Group II it was 18 (11.1%). There was no statistically significant difference between the two groups (p<0.7). Age was positively related with drug-induced liver injury, while body mass index and serum albumin were negatively associated. Conclusion: There was no significant difference between the two major guidelines though the American Thoracic Society guideline was easier to follow. (author)
Ludvigsson, Jonas F; Bai, Julio C; Biagi, Federico; Card, Timothy R; Ciacci, Carolina; Ciclitira, Paul J; Green, Peter H R; Hadjivassiliou, Marios; Holdoway, Anne; van Heel, David A; Kaukinen, Katri; Leffler, Daniel A; Leonard, Jonathan N; Lundin, Knut E A; McGough, Norma; Davidson, Mike; Murray, Joseph A; Swift, Gillian L; Walker, Marjorie M; Zingone, Fabiana; Sanders, David S
A multidisciplinary panel of 18 physicians and 3 non-physicians from eight countries (Sweden, UK, Argentina, Australia, Italy, Finland, Norway and the USA) reviewed the literature on diagnosis and management of adult coeliac disease (CD). This paper presents the recommendations of the British Society of Gastroenterology. Areas of controversies were explored through phone meetings and web surveys. Nine working groups examined the following areas of CD diagnosis and management: classification of CD; genetics and immunology; diagnostics; serology and endoscopy; follow-up; gluten-free diet; refractory CD and malignancies; quality of life; novel treatments; patient support; and screening for CD.
Aitkenhead, Matt; Baggs, Liz; Towers, Willie; Black, Helaina
During the IYS, the British Society of Soil Science is engaging in a large number of activities aimed at raising the awareness of soil within society. Regional Groups are organising Society participation in a number of events, a numberof which are large, annual events providing access to a mixed audience of stakeholders. The success of the Society in raising awareness in soil during the IYS will not lie solely in developing new events which take time and money to organise, advertise and host, but primarily in linking up with existing events that are already featured with the UK's annual calendar of trade shows, agricultural meetings and scientific conferences. Examples of such events include the Royal Highland Show in Edinburgh in June, the World Water Congress in May, and internationally Expo15 in Milan with other societies across Europe. In addition, BSSS is aware of many soil-related activities being organised by research organisations (e.g. Lancaster University, James Hutton Institute, CEH, University of Aberdeen) and is working with these organisations to provide a synergy of activities. This has the combined effects of reducing costs, increasing access to potential audiences and stakeholders, and avoiding overlap with events that were already organised. The IYS also finds BSSS one year on from their success in bidding to host the World Congress of Soil Science in 2022 in Glasgow. Activities by BSSS during 2015 are intended to develop a momentum towards this Congress and to raise awareness of British Soil Science and the Congress amongst industry, researchers, policymakers and the general public. This will provide a springboard for increasing sponsorship and funding for the World Congress, and will hopefully result in increased attendance and quality of experience for the delegates at the Congress.
One of the creations in building a learning-oriented society in the United Kingdom, the Industry University shoulders such a mission as applying new technologies to transform learning and transmit skills, thus it has been playing an im- portant role in those aspects like establishing a novel educational organizational model, stimulating greater needs for education, integrating educational resources, providing more educational opportunities, and disseminating culture of lifelong learning. British experience is of great inspiration to Chinese development of Open University based on its learning society construc- tion, for instance, 1） a common social resources platform shall be set up; 2） learning products shall meet learners＇ demands; 3） no efforts shall be spared to explore effective practical approaches conducive to learning; 4） learners＇ lifelong learning shall be combined with their personal development.
The Korean Society of Cardiovascular Imaging (KOCSI) has issued a guideline for the use of cardiac CT imaging in order to assist clinicians and patients in providing adequate level of medical service. In order to establish a guideline founded on evidence based medicine, it was designed based on comprehensive data such as questionnaires conducted in international and domestic hospitals, intensive journal reviews, and with experts in cardiac radiology. The recommendations of this guideline should not be used as an absolute standard and medical professionals can always refer to methods non-adherent to this guideline when it is considered more reasonable and beneficial to an individual patient's medical situation. The guideline has its limitation and should be revised appropriately with the advancement medical equipment technology and public health care system. The guideline should not be served as a measure for standard of care. KOCSI strongly disapproves the use of the guideline to be used as the standard of expected practice in medical litigation processes.
Hart, S R; Davidson, A C
To investigate the accuracy of clinical severity assessment of asthmatics and to compare emergency and subsequent ward management with British Thoracic Society (BTS) Guidelines, the records of all patients admitted for severe asthma (46) over a 5-month period to a District General Hospital were inspected. Variations from recommended management were revealed. Appropriate oxygen administration was often not provided in casually and patients frequently left hospital before their discharge criteria were attained: recommended diurnal variations in peak flow were exceeded in 26%. Eleven per cent of discharges were against medical advice, making provision of adequate management logistically difficult. Adherence to BTS guidelines on the need for arterial blood gas (ABG) analysis would have led to a failure to detect significant hypoxaemia in 25% of cases. This study identified substantial variations from BTS management guidelines. It is suggested that oximetry is necessary on arrival to guide selection for arterial blood gas analysis.
Eighteen abstracts of scientific papers are presented which were read at the Annual Meeting of the British Society of Neuroradiologists, held in Essex from 8-9 October 1993, dealing with the diagnostic evaluation of a variety of brain diseases. (orig.)
ter Hoeve, Nienke; van Geffen, Myrna E.; Post, Marcel W.; Stam, Henk J.; Sunamura, Madoka; van Domburg, Ron T.; van den Berg-Emons, Rita J.
Objectives: To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL). Design: Prospective cohort study. Setting: Outpatient CR center.
Towers, Willie; Allton, Kathryn; Hallett, Steve
The British Society for Soil Science (BSSS) http://www.soils.org.uk is an international membership organisation and UK based charity committed to promoting the study and profession of soil science in its widest aspects. The Society is committed to reaching out to the public at large to educate and inform on the importance of soils to us all. The Society has adopted a range of approaches to soil education, tailored to the needs and aims of different audience types. We have developed the 'Working with Soil' initiative http://www.soilscientist.org/workingwithsoil which provides practicing soil scientists and potential funders with a set of professional competencies aligned to specific aspects of work. From 2013 The Society has developed a program of courses aligned to these documents aimed at meeting the professional development needs of those undertaking such work. So far these have focused on fundamentals of field characterisation, sampling and mapping which have been very well received, especially by early career practitioners who have had less exposure to field work. We have also produced posters and leaflets that demonstrate a range of soil functions which support human society, for example 'Soils in the City' and 'Soils of Britain'. These were originally developed in a more traditional formal style. The materials have also proved popular with local authorities, regional horticultural clubs and higher education establishments, notably agricultural colleges where they have been used to support student learning in both timetabled and project work. We have subsequently produced a further set of materials aimed at a much younger audience. We deliberately chose slightly quirkier names for these, for example 'Soils and Time Travel' and 'Soils and Spaceship Earth' as a hook to capture the child's imagination. These were designed by a specialist company who used a less formal language, the use of cartoons and alternative images and a wider range of font styles and sizes
Macdonald, Lee T
Built in 1769 as a private observatory for King George III, Kew Observatory was taken over in 1842 by the British Association for the Advancement of Science (BAAS). It was then quickly transformed into what some claimed to be a 'physical observatory' of the sort proposed by John Herschel - an observatory that gathered data in a wide range of physical sciences, including geomagnetism and meteorology, rather than just astronomy. Yet this article argues that the institution which emerged in the 1840s was different in many ways from that envisaged by Herschel. It uses a chronological framework to show how, at every stage, the geophysicist and Royal Artillery officer Edward Sabine manipulated the project towards his own agenda: an independent observatory through which he could control the geomagnetic and meteorological research, including the ongoing 'Magnetic Crusade'. The political machinations surrounding Kew Observatory, within the Royal Society and the BAAS, may help to illuminate the complex politics of science in early Victorian Britain, particularly the role of 'scientific servicemen' such as Sabine. Both the diversity of activities at Kew and the complexity of the observatory's origins make its study important in the context of the growing field of the 'observatory sciences'. PMID:26256312
Clark, A T; Skypala, I; Leech, S C; Ewan, P W; Dugué, P; Brathwaite, N; Huber, P A J; Nasser, S M
This guideline advises on the management of patients with egg allergy. Most commonly, egg allergy presents in infancy, with a prevalence of approximately 2% in children and 0.1% in adults. A clear clinical history and the detection of egg white-specific IgE (by skin prick test or serum assay) will confirm the diagnosis in most cases. Egg avoidance advice is the cornerstone of management. Egg allergy often resolves and re-introduction can be achieved at home if reactions have been mild and there is no asthma. Patients with a history of severe reactions or asthma should have reintroduction guided by a specialist. All children with egg allergy should receive measles, mumps and rubella (MMR) vaccination. Influenza and yellow fever vaccines should only be considered in egg-allergic patients under the guidance of an allergy specialist. This guideline was prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI) and is intended for allergists and others with a special interest in allergy. The recommendations are evidence-based but where evidence was lacking consensus was reached by the panel of specialists on the committee. The document encompasses epidemiology, risk factors, diagnosis, treatment, prognosis and co-morbid associations.
Sheen, Aali J; Stephenson, B. M.; Lloyd, D. M., Coates, A., Knopp, J., Oram, S., & Rowbotham, S.; Robinson, P.; Fevre, D; Paajanen, H.; de Beaux, A; Kingsnorth, A.; Gilmore, O. J.; Bennett, D; Maclennan, I; O'Dwyer, P; Sanders, D.; Kurzer, M.
Introduction The aim was to produce a multidisciplinary consensus to determine the current position on the nomenclature, definition, diagnosis, imaging modalities and management of Sportsman's groin (SG). Methods Experts in the diagnosis and management of SG were invited to participate in a consensus conference held by the British Hernia Society in Manchester, UK on 11–12 October 2012. Experts included a physiotherapist, a musculoskeletal radiologist and surgeons with a proven track recor...
This paper records some of the important changes that have been forced on British universities regarding performance and accountability. It also proposes an analysis of postindustrialism, relating it briefly to the modernity/postmodernity debate. Finally, some positive conclusions concerning the future role of the university are provided. (GLR)
Full Text Available Argues that the connection between political fragmentation and offshore financial services illustrate an increasingly common vision of the political and economic future among leaders of the British Caribbean who seek to carve out a place for their countries and territories in the new global economy. Their success is based on standing outside regional federations and providing services to parties wishing to conduct business between or around economic blocs.
Hancock, P; Woodward, B J; Muneer, A; Kirkman-Brown, J C
Post-vasectomy semen analysis (PVSA) is the procedure used to establish whether sperm are present in the semen following a vasectomy. PVSA is presently carried out by a wide variety of individuals, ranging from doctors and nurses in general practitioner (GP) surgeries to specialist scientists in andrology laboratories, with highly variable results.Key recommendations are that: (1) PVSA should take place a minimum of 12 weeks after surgery and after a minimum of 20 ejaculations. (2) Laboratories should routinely examine samples within 4 h of production if assessing for the presence of sperm. If non-motile sperm are observed, further samples must be examined within 1 h of production. (3) Assessment of a single sample is acceptable to confirm vasectomy success if all recommendations and laboratory methodology are met and no sperm are observed. Clearance can then be given. (4) The level for special clearance should be methods contained within these guidelines. Surgeons are responsible both preoperatively and postoperatively for the counselling of patients and their partners regarding complications and the possibility of late recanalisation after clearance. These 2016 guidelines replace the 2002 British Andrology Society (BAS) laboratory guidelines and should be regarded as definitive for the UK in the provision of a quality PVSA service, accredited to ISO 15189:2012, as overseen by the United Kingdom Accreditation Service (UKAS). PMID:27083211
Neves, José; Pereira, Hélder; Sousa Uva, Miguel; Gavina, Cristina; Leite Moreira, Adelino; Loureiro, Maria José
Appointed jointly by the Portuguese Society of Cardiothoracic and Vascular Surgery (SPCCTV) and the Portuguese Society of Cardiology (SPC), the Working Group on Waiting Times for Cardiac Surgery was established with the aim of developing practical recommendations for clinically acceptable waiting times for the three critical phases of the care of adults with heart disease who require surgery or other cardiological intervention: cardiology appointments; the diagnostic process; and invasive treatment. Cardiac surgery has specific characteristics that are not comparable to other surgical specialties. It is important to reduce maximum waiting times and to increase the efficacy of systems for patient monitoring and tracking. The information in this document is mainly based on available clinical information. The methodology used to establish the criteria was based on studies on the natural history of heart disease, clinical studies comparing medical treatment with intervention, retrospective and prospective analyses of patients on waiting lists, and the opinions of experts and working groups. Following the first step, represented by publication of this document, the SPCCTV and SPC, as the bodies best suited to oversee this process, are committed to working together to define operational strategies that will reconcile the clinical evidence with the actual situation and with available resources.
Batiz-Lazo, Bernardo; Billings, Mark
This article explores the manipulation of published financial reports in order to counter the potentially unfavourable impact of newly introduced regulation. In this case the reported capital ratio of a major building society was enhanced using a sale and leaseback transaction with a related party and a change in depreciation policy, methods which reflected limited alternatives. Analysis of the case is set in the context of the mid-term performance of the building society sector and address...
Hill, Adam T; Pasteur, Mark; Cornford, Charles; Welham, Sally; Bilton, Diana
The British Thoracic Society (BTS) has recently published a guideline for the management of non-cystic fibrosis (non-CF) bronchiectasis in children and adults. This paper summarises the key recommendations applicable to the primary care setting. The key points are: • Think of the diagnosis of bronchiectasis in adults and children who present with a chronic productive cough or unexplained haemoptysis, and in children with asthma which responds poorly to treatment; • High resolution computed tomography (HRCT) scanning is needed to confirm the diagnosis • Sputum culture should be obtained at the start of an exacerbation prior to initiating treatment with antibiotics; Treatment should be started whilst awaiting the sputum result and should be continued for 14 days; • Patients with bronchiectasis have significant morbidity. Management in primary care is aimed at improving morbidity, and includes; patient education, treatment and monitoring, as well as appropriate referral to secondary care including assessment for long term antibiotics.
Lorga Filho, Adalberto; Cintra, Fatima Dumas; Lorga, Adalberto; Grupi, Cesar José; Pinho, Claudio; Moreira, Dalmo Antonio Ribeiro; Dario C. Sobral Filho; de Brito, Fabio Sandoli; Kruse, José Claudio Lupi; Neto, José Sobral
Background There are innumerous indicators to assure the quality of a service. However, medical competence and the proper performance of a procedure determine its final quality. The Brazilian Society of Cardiac Arrhythmias recommends minimum parameters necessary to guarantee the excellence of ambulatory electrocardiographic monitoring services. Objective To recommend minimum medical competences and the information required to issue a Holter monitoring report. Methods This study was grounded i...
for all patients became possible only in the late 1980s. This development was hampered even more in the eastern parts of the country. Above-average efforts there, equalized the degree of clinical care in a few years. The co-operation between the German Cardiac Society (founded 1927) and the German Society for Thoracic and Cardiovascular Surgery (founded 1971) was of great benefit for this satisfying development.
Day, Linda; Sutton-Spence, Rachel
Research presented here describes the sign names and the customs of name allocation within the British Deaf community. While some aspects of British Sign Language sign names and British Deaf naming customs differ from those in most Western societies, there are many similarities. There are also similarities with other societies outside the more…
ter Hoeve, Nienke; Van Geffen, M.E.; Post, MWM; Stam, H.J.; Sunamura, M.; van Domburg, R.T.; Van Den Berg-Emons, Rita
Objectives: To assess changes in participation in society (frequency, restrictions, satisfaction) during and after cardiac rehabilitation (CR) and to assess associations between participation and heath-related quality of life (HRQOL). Design: Prospective cohort study. Setting: Outpatient CR center.
Russell, Richard Kay; Wilson, Michelle L.; Loganathan, Sabarinathan; Bourke, Billy; Kiparissi, Fevrionia; Torrente, Franco; Mahdi, Gamal; Rodrigues, Astor; Thomas, Adrian; Akobeng, Anthony Kwaku; Fagbemi, Andrew; Hyer, Warren; Spray, Christine; McGrogan, Paraic; Heuschkel, Rob B
Abstract Background: Adalimumab is efficacious therapy for adults with Crohn?s disease (CD). Aim: To summarise the United Kingdom and Republic of Ireland paediatric adalimumab experience. Methods: British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) members with Inflammatory Bowel Disease (IBD) patients
This meeting is being hosted by Royal Victoria Infirmary in Newcastle, 20-22 April 2016 at The Sage, Gateshead. The full abstracts of the platform presentations are followed by the titles of those submissions accepted as posters. The order of abstracts is that of presentation. These papers are 'published in advance of the meeting. If any papers are subsequently withdrawn or not read to the society, an addendum to this effect will be published in the next issue of the journal. PMID:27045549
Appoo, Jehangir J; Bozinovski, John; Chu, Michael W A; El-Hamamsy, Ismail; Forbes, Thomas L; Moon, Michael; Ouzounian, Maral; Peterson, Mark D; Tittley, Jacques; Boodhwani, Munir
In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Position Statement on behalf of the CCS, Canadian Society of Cardiac Surgeons, and the Canadian Society for Vascular Surgery provides recommendations about thoracic aortic disease interventions, including: aortic valve repair, perfusion strategies for arch repair, extended arch hybrid reconstruction for acute type A dissection, endovascular management of arch and descending aortic aneurysms, and type B dissection. The position statement is constructed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, and has been approved by the primary panel, an international secondary panel, and the CCS Guidelines Committee. Advent of endovascular technology has improved aortic surgery safety and extended the indications of minimally invasive thoracic aortic surgery. The combination of safer open surgery with endovascular treatment has improved patient outcomes in this rapidly evolving subspecialty field of cardiovascular surgery.
Dargie Henry J
Full Text Available Abstract Background The indications, complexity and capabilities of cardiovascular magnetic resonance (CMR have rapidly expanded. Whether actual service provision and training have developed in parallel is unknown. Methods We undertook a systematic telephone and postal survey of all public hospitals on behalf of the British Society of Cardiovascular Magnetic Resonance to identify all CMR providers within the United Kingdom. Results Of the 60 CMR centres identified, 88% responded to a detailed questionnaire. Services are led by cardiologists and radiologists in equal proportion, though the majority of current trainees are cardiologists. The mean number of CMR scans performed annually per centre increased by 44% over two years. This trend was consistent across centres of different scanning volumes. The commonest indication for CMR was assessment of heart failure and cardiomyopathy (39%, followed by coronary artery disease and congenital heart disease. There was striking geographical variation in CMR availability, numbers of scans performed, and distribution of trainees. Centres without on site scanning capability refer very few patients for CMR. Just over half of centres had a formal training programme, and few performed regular audit. Conclusion The number of CMR scans performed in the UK has increased dramatically in just two years. Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.
Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines
Veitch, Andrew M; Vanbiervliet, Geoffroy; Gershlick, Anthony H; Boustiere, Christian; Baglin, Trevor P; Smith, Lesley-Ann; Radaelli, Franco; Knight, Evelyn; Gralnek, Ian M; Hassan, Cesare; Dumonceau, Jean-Marc
The risk of endoscopy in patients on antithrombotics depends on the risks of procedural haemorrhage versus thrombosis due to discontinuation of therapy. P2Y12 receptor antagonists (clopidogrel, prasugrel, ticagrelor) For low-risk endoscopic procedures we recommend continuing P2Y12 receptor antagonists as single or dual antiplatelet therapy (low quality evidence, strong recommendation); For high-risk endoscopic procedures in patients at low thrombotic risk, we recommend discontinuing P2Y12 receptor antagonists five days before the procedure (moderate quality evidence, strong recommendation). In patients on dual antiplatelet therapy, we suggest continuing aspirin (low quality evidence, weak recommendation). For high-risk endoscopic procedures in patients at high thrombotic risk, we recommend continuing aspirin and liaising with a cardiologist about the risk/benefit of discontinuation of P2Y12 receptor antagonists (high quality evidence, strong recommendation). Warfarin The advice for warfarin is fundamentally unchanged from British Society of Gastroenterology (BSG) 2008 guidance. Direct Oral Anticoagulants (DOAC) For low-risk endoscopic procedures we suggest omitting the morning dose of DOAC on the day of the procedure (very low quality evidence, weak recommendation); For high-risk endoscopic procedures, we recommend that the last dose of DOAC be taken ≥48 h before the procedure (very low quality evidence, strong recommendation). For patients on dabigatran with CrCl (or estimated glomerular filtration rate, eGFR) of 30–50 mL/min we recommend that the last dose of DOAC be taken 72 h before the procedure (very low quality evidence, strong recommendation). In any patient with rapidly deteriorating renal function a haematologist should be consulted (low quality evidence, strong recommendation). PMID:26873868
Halpin, Linda S; Gallardo, Bret E; Speir, Alan M; Ad, Niv
Health care reform has helped streamline patient care and reimbursement by encouraging providers to provide the best outcome for the best value. Institutions with cardiac surgery programs need a methodology to monitor and improve outcomes linked to reimbursement. The Society of Thoracic Surgeons National Database (STSND) is a tool for monitoring outcomes and improving care. This article identifies the purpose, goals, and reporting system of the STSND and ways these data can be used for benchmarking, linking outcomes to the effectiveness of treatment, and identifying factors associated with mortality and complications. We explain the methodology used at Inova Heart and Vascular Institute, Falls Church, Virginia, to perform outcome management by using the STSND and address our performance-improvement cycle through discussion of data collection, analysis, and outcome reporting. We focus on the revision of clinical practice and offer examples of how patient outcomes have been improved using this methodology.
Appelman, Yolande; van der Borgh, Roger; van Dantzig, Jan Melle; Mosterd, Arend; Daniels, Marcel; Doevendans, Pieter A.
Aims There are variable results reported for athletes and potential cardiac damage during exercise. In 2009 a group of cardiologists went by bicycle from the Netherlands to the European Society of Cardiology meeting in Barcelona and collected functional and biochemical parameters during this trip in
32nd Annual Conference of the Gesellschaft für Klassifikation e.V., Joint Conference with the British Classification Society (BCS) and the Dutch/Flemish Classification Society (VOC), Helmut-Schmidt-University
Lausen, Berthold; Seidel, Wilfried; Ultsch, Alfred
Data Analysis, Data Handling and Business Intelligence are research areas at the intersection of computer science, artificial intelligence, mathematics, and statistics. They cover general methods and techniques that can be applied to a vast set of applications such as in marketing, finance, economics, engineering, linguistics, archaeology, musicology, medical science, and biology. This volume contains the revised versions of selected papers presented during the 32nd Annual Conference of the German Classification Society (Gesellschaft für Klassifikation, GfKl). The conference, which was organized in cooperation with the British Classification Society (BCS) and the Dutch/Flemish Classification Society (VOC), was hosted by Helmut-Schmidt-University, Hamburg, Germany, in July 2008.
Positive attitudes toward sex offenders can lead to favourable treatment outcomes and with psychology students being among the most likely graduates to move into offender rehabilitation, it is important to investigate the attitudes of this group. Students from British psychology and non-psychology courses read vignettes depicting an adult and a juvenile committing a contact sexual offence on a child, and completed modified versions of the attitudes towards sex offenders [ATS] questionnaire. T...
Hybrid cardiac imaging: SPECT/CT and PET/CT. A joint position statement by the European Association of Nuclear Medicine (EANM), the European Society of Cardiac Radiology (ESCR) and the European Council of Nuclear Cardiology (ECNC)
Flotats, Albert; Gutberlet, Matthias; Knuuti, Juhani;
. The European Association of Nuclear Medicine (EANM), the European Society of Cardiac Radiology (ESCR) and the European Council of Nuclear Cardiology (ECNC) in this paper want to present a position statement of the institutions on the current roles of SPECT/CT and PET/CT hybrid cardiac imaging in patients...
The conference, titled “Towards an information society for all:an European perspective” has been an interesting occasion for a comparison at an European Level for information specialists committed to different areas, from documentation to training, from libraries to technologies, from economies to institutions, and allowed to focus on aspects related to information society seen from the point of view of people dealing with information services management, at different levels and names. In the...
The Council of the British Society for the Study of Infection (BSSI) has considered the present and future role of the Consultant Physician with an interest in infection. The BSSI is anxious to set standards and improve the quality of care delivered to patients with infection; to give advice on the prevention and management of infection and to provide such services economically to assist Health Managers in the purchase of infection-related medical services appropriate to the needs of the community they serve. New approaches to the care of infected patients are reviewed where the Clinical Specialist, Microbiologist and Consultant in Communicable Disease Control (CCDC)--in Scotland, Consultant in Public Health Medicine (CPHM)--work together in a team. As the U.K. moves closer to its European partners in 1992, it seems timely for each specialty to make a clear statement about its training programme and the requirements expected of a fully trained Consultant in each discipline. Comparisons between the ratio of Consultants with a special interest in infection and the population are made, where known, between U.K. and other European countries. A model job description for the U.K. clinical specialist is therefore being made available, the present inadequate numbers of consultants are stated and recommendations made to expand urgently the number of Consultant Physicians with an interest in infection.
Austin, Rupert; Eliyas, Shiyana; Burke, F J Trevor; Taylor, Phil; Toner, James; Briggs, Peter
In 2013, the Minamata Convention on Mercury called for a global phase-down of amalgam use, with a view to reduce environmental mercury pollution. This will significantly impact UK dentistry, given the still extensive use of amalgam in U.K. general dental practice. However, until now there has been little national discussion or debate. In Spring 2015, The British Society of Prosthodontics dedicated a significant part of its Annual Conference to debating the implications of this issue. Clinical case examples were discussed with audience interaction and voting facilitated using innovative Audience Response System Technology. A remarkable range of concerns and opinions were given. The debate elicited specific concerns amongst clinicians regarding the suitability of mercury-free alternatives to amalgam; particularly where cavities are large and extend beneath the gingival anatomy. There are also anecdotal reports of Dental Foundation (DF) dentists not being adequately taught the use of dental amalgam in undergraduate dental schools. CPD/CLINICAL RELEVANCE: Many clinicians, especially those treating patients for whom moisture control is challenging, feel that amalgam should remain available for clinicians to choose in certain clinical circumstances for the restoration of posterior teeth, even in the event of a complete phase-down. PMID:27024898
Full Text Available Con el objetivo de evaluar el cumplimiento de las recomendaciones en rehabilitación respiratoria (ReR, planteadas por la British Thoracic Society (BTS en pacientes con fibrosis quística (FQ se realizó un estudio transversal entre 224 fisioterapeutas colombianos para identificar el tipo de intervenciones y las características de los programas de ReR como componentes del cumplimiento de las guías clínicas basadas en la evidencia de la BTS. Un elevado porcentaje de profesionales respondieron “realizar siempre” intervenciones con alto nivel de evidencia (grado A como: técnicas de higiene bronquial (54,0% y ciclo activo de la respiración (35,3%. Se observaron también intervenciones con menor grado de recomendación (grado D como: uso de solución salina hipertónica y broncodilatador para evitar el broncoespasmo (33,9%, y técnicas de terapia manual o ejercicios de movilidad torácica y resistida (38,4% para corregir problemas posturales y respiratorios. En conclusión, se encontraron importantes discrepancias con las intervenciones y componentes sugeridos por BTS en pacientes con FQ.
Austin, Rupert; Eliyas, Shiyana; Burke, F J Trevor; Taylor, Phil; Toner, James; Briggs, Peter
In 2013, the Minamata Convention on Mercury called for a global phase-down of amalgam use, with a view to reduce environmental mercury pollution. This will significantly impact UK dentistry, given the still extensive use of amalgam in U.K. general dental practice. However, until now there has been little national discussion or debate. In Spring 2015, The British Society of Prosthodontics dedicated a significant part of its Annual Conference to debating the implications of this issue. Clinical case examples were discussed with audience interaction and voting facilitated using innovative Audience Response System Technology. A remarkable range of concerns and opinions were given. The debate elicited specific concerns amongst clinicians regarding the suitability of mercury-free alternatives to amalgam; particularly where cavities are large and extend beneath the gingival anatomy. There are also anecdotal reports of Dental Foundation (DF) dentists not being adequately taught the use of dental amalgam in undergraduate dental schools. CPD/CLINICAL RELEVANCE: Many clinicians, especially those treating patients for whom moisture control is challenging, feel that amalgam should remain available for clinicians to choose in certain clinical circumstances for the restoration of posterior teeth, even in the event of a complete phase-down.
Margot K. Davis
Full Text Available Background. While androgen deprivation therapy (ADT reduces the risk of prostate cancer-specific mortality in high-risk localized prostate cancer, it adversely affects cardiovascular (CV risk factor profiles in treated men. Methods. We retrospectively reviewed the charts of 100 consecutive men with intermediate- or high-risk localized prostate cancer referred to the British Columbia Cancer Agency for ADT. Data on CV risk factors and disease were collected and Framingham risk scores were calculated. Results. The median age of the study cohort was 73 years. Established cardiovascular disease was present in 25% of patients. Among patients without established CV disease, calculated Framingham risk was high in 65%, intermediate in 33%, and low in 1%. Baseline hypertension was present in 58% of patients, dyslipidemia in 51%, and diabetes or impaired glucose tolerance in 24%. Hypertension was more prevalent in the study cohort than in an age- and sex-matched population sample (OR 1.74, P=0.006; diabetes had a similar prevalence (OR 0.93, P=0.8. Conclusions. Patients receiving ADT have a high prevalence of cardiovascular disease and risk factors and are more likely to be hypertensive than population controls. Low rates of CV risk screening suggest opportunities for improved primary and secondary prevention of CV disease in this population.
Cardiovascular implanted electronic devices in people towards the end of life, during cardiopulmonary resuscitation and after death: guidance from the Resuscitation Council (UK), British Cardiovascular Society and National Council for Palliative Care.
Pitcher, David; Soar, Jasmeet; Hogg, Karen; Linker, Nicholas; Chapman, Simon; Beattie, James M; Jones, Sue; George, Robert; McComb, Janet; Glancy, James; Patterson, Gordon; Turner, Sheila; Hampshire, Susan; Lockey, Andrew; Baker, Tracey; Mitchell, Sarah
The Resuscitation Council (UK), the British Cardiovascular Society (including the British Heart Rhythm Society and the British Society for Heart Failure) and the National Council for Palliative Care recognise the importance of providing clear and consistent guidance on management of cardiovascular implanted electronic devices (CIEDs) towards the end of life, during cardiorespiratory arrest and after death. This document has been developed to provide guidance for the full range of healthcare professionals who may encounter people with CIEDs in the situations described and for healthcare managers and commissioners. The authors recognise that some patients and people close to patients may also wish to refer to this document. It is intended as an initial step to help to ensure that people who have CIEDs, or are considering implantation of one, receive explanation of and understand the practical implications and decisions that this entails; to promote a good standard of care and service provision for people in the UK with CIEDs in the circumstances described; to offer relevant ethical and legal guidance on this topic; to offer guidance on the delivery of services in relation to deactivation of CIEDs where appropriate; to offer guidance on whether any special measures are needed when a person with a CIED receives cardiopulmonary resuscitation; and to offer guidance on the actions needed when a person with a CIED dies. PMID:27277710
分析和研究中国女性的主体意识受英美文学中新女性形象的影响，及其在构建和谐社会中所体现的作用，并阐述了深度发展女性主体意识的途径。%The profound influence of the new women＇s image in British and American literature on Chinese women＇s subjective consciousness are analyzed and studied, as well as its role in construction of harmonious society. The ways to accelerate the development of such a society are expounded.
Full Text Available Mikhail Y Ledyaev, Olga V Stepanova, Anastasia M Ledyaeva Department of Pediatric Disease, Volgograd State Medical University, Volgograd, Russian Federation Background: Automatic 24-hour ambulatory blood pressure (BP monitoring (ABPM is a basic procedure performed in adults with arterial hypertension, but ABPM monitors have become widely used in pediatric practice only recently. The main problem is the lack of common normative data sets for ABPM in children and the small number of appropriate monitors that can be used for analysis of the 24-hour BP profile in this age group. The aim of this study was to validate the BPLab® ABPM monitor according to the 1993 British Hypertension Society (BHS-93 protocol, as well as to work out solutions regarding the feasibility of this device in pediatric practice. Methods: Our study included 30 children of both sexes and aged 5–15 years, ie, “older” children according to the BHS-93 protocol. Before starting the study, we obtained ethical approval from the regional scientific ethics committee. All participants and their parents signed their written consent for participation in the study. The data were simultaneously obtained by three experts, who had completed a noninvasive BP measurement training course. BP values were measured using the Korotkoff auscultatory method (Phase I for systolic BP and Phase V for diastolic BP. Discrepancies in the systolic and diastolic BP measurements (n=180; 90 for each expert were analyzed according to the criteria specified in the BHS-93 protocol. Results: The device was graded “A” for both systolic BP and diastolic BP according to the criteria of the BHS-93 protocol. Conclusion: The BPLab ABPM device may be recommended for extensive pediatric use. Keywords: ambulatory blood pressure monitoring, children, device, validation
Oudkerk, Matthijs; Stillman, Arthur E.; Halliburton, Sandra S.; Kalender, Willi A.; Moehlenkamp, Stefan; McCollough, Cynthia H.; Vliegenthart, Rozemarijn; Shaw, Leslee J.; Stanford, William; Taylor, Allen J.; van Ooijen, Peter M. A.; Wexler, Lewis; Raggi, Paolo
Current guidelines and literature on screening for coronary artery calcium for cardiac risk assessment are reviewed for both general and special populations. It is shown that for both general and special populations a zero score excludes most clinically relevant coronary artery disease. The importan
Wannamethee, S.G.; Shaper, A. G.; Papacosta, O.; LENNON, L; Welsh, P.; Whincup, P H
AIMS: The association between lung function and cardiac markers and heart failure (HF) has been little studied in the general older population. We have examined the association between lung function and airway obstruction with cardiac markers N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin T (cTnT) and risk of incident HF in older men. METHODS AND RESULTS: Prospective study of 3242 men aged 60-79 years without prevalent HF or myocardial infarction followed up for an ...
Wannamethee, Goya; Shaper, Gerald; Papacosta, Olia; Lennon, Lucy; Welsh, Paul; Whincup, Peter,
Aims The association between lung function and cardiac markers and heart failure (HF) has been little studied in the general older population. We have examined the association between lung function and airway obstruction with cardiac markers N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin T (cTnT) and risk of incident HF in older men. Methods and results Prospective study of 3242 men aged 60–79 years without prevalent HF or myocardial infarction followed up for a...
Sanne E. Hoeks
Full Text Available Patients undergoing noncardiac surgery are at risk of adverse perioperative and long-term outcome. When considering a patient for noncardiac surgery, a careful preoperative clinical risk evaluation and subsequent risk-reduction strategies are essential to reduce postoperative complications. To assist physicians with decision making, clinical guidelines are developed. The aim of clinical guidelines is to improve patient care by providing recommendations about appropriate healthcare in specific circumstances. Development of clinical guidelines is an important component in improving the quality of care. By translating the best available scientific evidence into specific recommendations, guidelines can serve as a useful tool to achieve effective and efficient patient care. In 2009, the first European Society of Cardiology guidelines on perioperative care were developed. This decisionmaking process integrates clinical markers, early coronary evaluation, functional capacity, and the type of surgery involved.
Nelson, Christopher J; Ausió, Juan
The 55th Annual Canadian Society for Molecular Biosciences Conference on Epigenetics and Genomic Stability in Whistler, Canada, 14-18 March 2012, brought together 31 speakers from different nationalities. The organizing committee, led by Jim Davie (Chair) at the University of Manitoba (Manitoba, Canada), consisted of several established researchers in the fields of chromatin and epigenetics from across Canada. The meeting was centered on the contribution of epigenetics to gene expression, DNA damage and repair, and the role of environmental factors. A few interesting talks on replication added some insightful information on the controversial issue of histone post-translational modifications as genuine epigenetic marks that are inherited through cell division.
The application of European system for cardiac operative risk evaluation II (EuroSCORE II and Society of Thoracic Surgeons (STS risk-score for risk stratification in Indian patients undergoing cardiac surgery
Full Text Available Aims and Objectives: To validate European system for cardiac operative risk evaluation II (EuroSCORE II and Society of Thoracic Surgeons (STS risk-score for predicting mortality and STS risk-score for predicting morbidity in Indian patients after cardiac surgery. Materials and Methods: EuroSCORE II and STS risk-scores were obtained pre-operatively for 498 consecutive patients. The patients were followed for mortality and various morbidities. The calibration of the scoring systems was assessed using Hosmer-Lemeshow test. The discriminative capacity was estimated by area under receiver operating characteristic (ROC curves. Results: The mortality was 1.6%. For EuroSCORE II and STS risk-score C-statics of 5.43 and 6.11 were obtained indicating satisfactory model fit for both the scores. Area under ROC was 0.69 and 0.65 for EuroSCORE II and STS risk-score with P values of 0.068 and 0.15, respectively, indicating poor discriminatory power. Good fit and discrimination was obtained for renal failure, long-stay in hospital, prolonged ventilator support and deep sternal wound infection but the scores failed in predicting risk of reoperation and stroke. Mortality risk was correctly estimated in low ( 5% patients by both scoring systems. Conclusions: EuroSCORE II and STS risk-scores have satisfactory calibration power in Indian patients but their discriminatory power is poor. Mortality risk was over-estimated by both the scoring systems in high-risk patients. The present study highlights the need for forming a national database and formulating risk stratification tools to provide better quality care to cardiac surgical patients in India.
Andersen, Torben Juul; Andersen, Christine Bang
The case deals with the rather tumultuous executive leadership changes of British Petroleum (BP) over the past decade from 2005 to 2014 in the wake of two dramatic incidents: The Texas City refinery explosion in 2005 and the explosion of the oil rig Deepwater Horizon in the Mexican Gulf in 2010...... guidelines and governance practices. The case captures the intricacies of corporate management and provides a realistic overview of the complexities that often surround leadership approaches and executive decisions. Hence, it can be used in various graduate and executive courses in strategic management......, leadership development and corporate governance that all grapple with issues of responsible ethical behaviour. This case is part of the CBS free case collection (visit www.thecasecentre.org/CBSfreecases for more information on the collection). This case can be downloaded by educators as a clean pdf...
There are two views of the British Industrial Revolution in the literature today. The more traditional description, represented by the views of Ashton and Landes, sees the Industrial Revolution as a broad change in the British economy and society. This broad view of the Industrial Revolution has been challenged by Crafts and Harley who see the Industrial Revolution as a much narrower phenomenon, as the result of technical change in a few industries. This paper presents a test of these views u...
Lowe, Martin D; Plummer, Christopher J; Manisty, Charlotte H; Linker, Nicholas J
MR scanning in patients with cardiac implantable electronic devices (CIEDs) was formerly felt to be contraindicated, but an increasing number of patients have an implanted MR conditional device, allowing them to safely undergo MR scanning, provided the manufacturer's guidance is adhered to. In addition, some patients with non-MR conditional devices may undergo MR scanning if no other imaging modality is deemed suitable and there is a clear clinical indication for scanning which outweighs the potential risk. The following guidance has been formulated by the British Heart Rhythm Society and endorsed by the British Cardiovascular Society and others. It describes protocols that should be followed for patients with CIEDs undergoing MR scanning. The recommendations, principles and conclusions are supported by the Royal College of Radiologists. PMID:26420818
Reduced hearing is a wide spread disability. One out of ten British Columbians estimated to suffer from a variable degree of hearing loss (CASLPA, 2005). It is the most common sensory impairment affecting 50 percent of Canadians over 65 (CHHA, 2005). The hearing loss problem is expected to progress from bad to worse due to demographic changes of the society and aging population. Hearing loss problem bears serious consequences for the affected individuals and society as a whole. This paper is ...
SCAI expert consensus statement: Evaluation, management, and special considerations of cardio-oncology patients in the cardiac catheterization laboratory (Endorsed by the Cardiological Society of India, and Sociedad Latino Americana de Cardiologıa Intervencionista).
Iliescu, Cezar; Grines, Cindy L; Herrmann, Joerg; Yang, Eric H; Cilingiroglu, Mehmet; Charitakis, Konstantinos; Hakeem, Abdul; Toutouzas, Konstantinos; Leesar, Massoud A; Marmagkiolis, Konstantinos
In the United States alone, there are currently approximately 14.5 million cancer survivors, and this number is expected to increase to 20 million by 2020. Cancer therapies can cause significant injury to the vasculature, resulting in angina, acute coronary syndromes (ACS), stroke, critical limb ischemia, arrhythmias, and heart failure, independently from the direct myocardial or pericardial damage from the malignancy itself. Consequently, the need for invasive evaluation and management in the cardiac catheterization laboratory (CCL) for such patients has been increasing. In recognition of the need for a document on special considerations for cancer patients in the CCL, the Society for Cardiovascular Angiography and Interventions (SCAI) commissioned a consensus group to provide recommendations based on the published medical literature and on the expertise of operators with accumulated experience in the cardiac catheterization of cancer patients.
[Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): cardiac patient].
Jiménez Jiménez, F J; Cervera Montes, M; Blesa Malpica, A L
Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral route cannot be used. When cardiac function is severely compromised, enteral nutrition is feasible, but supplementation with parenteral nutrition is sometimes required. Sustained hyperglycemia in the first 24 hours in patients admitted for acute coronary syndrome, whether diabetic or not, is a poor prognostic factor for 30-day mortality. In critically-ill cardiac patients with stable hemodynamic failure, nutritional support of 20-25 kcal/kg/day is effective in maintaining adequate nutritional status. Protein intake should be 1.2*-1.5 g/kg/day. Routine polymeric or high protein formulae should be used, according to the patient's prior nutritional status, with sodium and volume restriction according to the patient's clinical situation. The major energy source for myocytes is glutamine, through conversion to glutamate, which also protects the myocardial cell from ischemia in critical situations. Administration of 1 g/ day of omega-3 (EPA+DHA) in the form of fish oil can prevent sudden death in the treatment of acute coronary syndrome and can also help to reduce hospital admission for cardiovascular events in patients with chronic heart failure.
Report from the international society for nomenclature of paediatric and congenital heart disease: creation of a visual encyclopedia illustrating the terms and definitions of the international pediatric and congenital cardiac code.
Giroud, Jorge M; Jacobs, Jeffrey P; Spicer, Diane; Backer, Carl; Martin, Gerard R; Franklin, Rodney C G; Béland, Marie J; Krogmann, Otto N; Aiello, Vera D; Colan, Steven D; Everett, Allen D; William Gaynor, J; Kurosawa, Hiromi; Maruszewski, Bohdan; Stellin, Giovanni; Tchervenkov, Christo I; Walters, Henry L; Weinberg, Paul; Anderson, Robert H; Elliott, Martin J
Tremendous progress has been made in the field of pediatric heart disease over the past 30 years. Although survival after heart surgery in children has improved dramatically, complications still occur, and optimization of outcomes for all patients remains a challenge. To improve outcomes, collaborative efforts are required and ultimately depend on the possibility of using a common language when discussing pediatric and congenital heart disease. Such a universal language has been developed and named the International Pediatric and Congenital Cardiac Code (IPCCC). To make the IPCCC more universally understood, efforts are under way to link the IPCCC to pictures and videos. The Archiving Working Group is an organization composed of leaders within the international pediatric cardiac medical community and part of the International Society for Nomenclature of Paediatric and Congenital Heart Disease (www.ipccc.net). Its purpose is to illustrate, with representative images of all types and formats, the pertinent aspects of cardiac diseases that affect neonates, infants, children, and adults with congenital heart disease, using the codes and definitions associated with the IPCCC as the organizational backbone. The Archiving Working Group certifies and links images and videos to the appropriate term and definition in the IPCCC. These images and videos are then displayed in an electronic format on the Internet. The purpose of this publication is to report the recent progress made by the Archiving Working Group in establishing an Internet-based, image encyclopedia that is based on the standards of the IPCCC.
Van Blyderveen, Sherry Lynn
Peer victimization is an issue which has recently received considerable attention from the media, the school system, and academic literature. The present study examines a number of expected correlates, both risk factors and outcomes, of peer victimization through the use of the Adolescent Health Survey - II conducted by the McCreary Centre Society in the province of British Columbia. Approximately 25,800 youth, from grades 7 through 12, from various regions of the province completed the quest...
During the British election campaign of 2010, David Cameron produced the idea of the ‘Big Society’ as a cornerstone of his political agenda. At the core of the idea is a stronger civil society and local community coupled with a more withdrawn government. Although many commentators have dismissed thi
With the development of society, American English and British English have significant difference.By retrospective analysis of British English and American English and the historical evolution of the development process, discusses American English and British English exist in the vocabulary of the main differences through understanding both English vocabulary differences exist, so that English learners to more easily have a certain kind of English, as well as the right to express English contains a wealth of knowledge.This paper also pointed out that the United States has its unique features English and language arts charm has been a topic of concern to the development trend of English.
Jankowski, Piotr; Gąsior, Mariusz; Gierlotka, Marek; Cegłowska, Urszula; Słomka, Marta; Eysymontt, Zbigniew; Gałaszek, Michał; Buszman, Piotr; Kalarus, Zbigniew; Kaźmierczak, Jarosław; Legutko, Jacek; Sujkowska, Gabriela; Matusewicz, Wojciech; Opolski, Grzegorz; Hoffman, Piotr
The in-hospital mortality following myocardial infarction has decreased substantially over the last two decades in Poland. However, according to the available evidence approximately every 10th patient discharged after myocardial infarction (MI) dies during next 12 months. We identified the most important barriers (e.g. insufficient risk factors control, insufficient and delayed cardiac rehabilitation, suboptimal pharmacotherapy, delayed complete myocardial revascularisation) and proposed a new nation-wide system of coordinated care after MI. The system should consist of four modules: complete revascularisation, education and rehabilitation programme, electrotherapy (including ICDs and BiVs when appropriate) and periodical cardiac consultations. At first stage the coordinated care programme should last 12 months. The proposal contains also the quality of care assessment based on clinical measures (e.g. risk factors control, rate of complete myocardial revascularisation, etc.) as well as on the rate of cardiovascular events. The wide implementation of the proposed system is expected to decrease one year mortality after MI and allow for better financial resources allocation in Poland. PMID:27553352
Sommer, T. [German Red Cross Hospital Neuwied (Germany). Dept. of Diagnostic and Interventional Radiology; Luechinger, R. [Zuerich Univ. (Switzerland). Inst. for Biomedical Engineering; Barkhausen, J. [University Hospital Luebeck (Germany). Dept. of Radiology and Nuclear Medicine; Gutberlet, M. [Univ. Leipzig - German Heart Center Leipzig (Germany). Dept. of Diagnostic and Interventional Radiology; Quick, H.H. [University Hospital Essen (Germany). Erwin L. Hahn Inst. for MR Imaging, High Field and Hybrid MR Imaging; Fischbach, K. [University Hospital Magdeburg (Germany). Dept. of Radiology and Nuclear Medicine
The aim of this paper is to inform physicians, especially radiologists and cardiologists, about the technical and electrophysiological background of MR imaging of patients with implanted cardiac pacemakers (PM) and to provide dedicated clinical practice guidelines how to perform MR exams in this patient group. The presence of a conventional PM system is not any more considered an absolute contraindication for MR imaging. The prerequisites for MR imaging on pacemaker patients include the assessment of the individual risk/benefit ratio as well as to obtain full informed consent about the off label character of the procedure and all associated risks. Furthermore the use of special PM-related (e.g. re-programming of the PM) and MRI-related (e.g. limitation of whole body SAR to 2 W/kg) precautions is required and needs to be combined with adequate monitoring during MR imaging using continuous pulsoximetry. MR conditional PM devices are tested and approved for the use in the MR environment under certain conditions, including the field strength and gradient slew rate of the MR system, the maximum whole body SAR value and the presence of MR imaging exclusion zones. Safe MR imaging of patients with MR conditional PM requires the knowledge of the specific conditions of each PM system. If MR imaging within these specific conditions cannot be guaranteed in a given patient, the procedure guidelines for conventional PM should be used. The complexity of MR imaging of PM patients requires close cooperation of radiologists and cardiologists.
Criminologists display a largely unexamined propensity to ignore writings that are more than fifteen or so years old, with evident consequences for the public presentation and validation of expert knowledge. A citation study was combined with detailed observations from British criminologists to ascertain quite how that disavowal of the past was accomplished.
Kenny, Alex; Ghale, Baljeet
At the recent National Union of Teachers' conference the role of the Prevent strategy and the introduction of "British Values" in the Office for Standards in Education, Children's Services and Skills framework emerged as key issues for delegates. Two of the speeches made at the conference are presented here.
Marriott, R. A.
The total solar eclipse of 1927 June 29 was the first to be seen over the British mainland for 203 years. It caused nationwide excitement, induced mass population movement to the towns, villages, moorlands and offshore waters of Wales and the north of England, and severely tested the country's transport and communication systems.
Forrester, Keith P.
British trade unions' engagement in workplace learning is currently shaped by discourses of globalization and the learning society. Unions' workplace learning representatives appear more focused on uncritical acceptance of learning for employability and less on learning for active citizenship and workplace democracy. (Contains 21 references.) (SK)
@@ The difficulty for the nonnative learner of English is there is no standard English form. He is confronted(面对) with two English dialects (方言) to learn: British English and American English (leaving aside Australian,Indian, South African English ete.) And despite the many cross-cultural influences, it seems that the vocabularies, spellings and pronunciations of these two dialects are diverging year by year.
Science writer, historian and administrator J.G. Crowther (1899-1983) had an uneasy relationship with the BBC during the 1920s and 1930s, and was regarded with suspicion by the British security services because of his left politics. Nevertheless the Second World War saw him working for 'establishment' institutions. He was closely associated with the BBC's Overseas Service and employed by the British Council's Science Committee. Both organizations found Crowther useful because of his wide, international knowledge of science and scientists. Crowther's political views, and his international aspirations for the British Council's Science Committee, increasingly embroiled him in an institutional conflict with the Royal Society and with its president, Sir Henry Dale, who was also chairman of the British Council's Science Committee. The conflict centred on the management of international scientific relations, a matter close Crowther's heart, and to Dale's. Dale considered that the formal conduct of international scientific relations was the Royal Society's business rather than the British Council's. Crowther disagreed, and eventually resigned from the British Council Science Committee in 1946. The article expands knowledge of Crowther by drawing on archival documents to elucidate a side of his career that is only lightly touched on in his memoirs. It shows that 'Crowther's war' was also an institutional war between the Science Committee of the British Council and the Royal Society. Crowther's unhappy experience of interference by the Royal Society plausibly accounts for a retreat from his pre-war view that institutional science should plan and manage BBC science broadcasts.
Full Text Available The issues of British national identity and social cohesion have become pressing concerns within the multicultural fabric of contemporary British society. The increasing number of immigrants and their offspring, along with the maintenance of their cultural roots, seem to represent a serious defiance to social cohesion and the alleged “purity” of Britishness. A number of race related reports were produced by the official authorities to churn out the necessary steps to be followed by the British (immigrants and host community in order to keep social stability and community cohesion. Thus, the politics of community cohesion came to the fore as the neologism of contemporary British political discourse. Such new discourse of governance has been digested and processed differently by different mass media. It has been decoded, for instance, preferably by mainstream news agencies like BBC News Online. However, arguably, it is read appositionally or at best negotiatedly by ethnicity-related news agencies such as Muslim News Online. In this article, attempt has been made to adopt media discourse analysis tools to decipher the ways Muslim News Online decoded and then encoded the hegemonic official discourses of Britishness and community cohesion. A critical and interpretative approach is used to accomplish such study. The corpus of this study is primarily extracted from the website of the Muslim News Online.
2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA).
Kristensen, Steen Dalby; Knuuti, Juhani; Saraste, Antti; Anker, Stefan; Botker, Hans Erik; Hert, Stefan De; Ford, Ian; Juanatey, Jose Ramon Gonzalez; Gorenek, Bulent; Heyndrickx, Guy Robert; Hoeft, Andreas; Huber, Kurt; Iung, Bernard; Kjeldsen, Keld Per; Longrois, Dan
The American College of Cardiology (ACC), the American Heart Association (AHA), and the European Society of Cardiology (ESC) are pleased to announce the publication of two new versions of Clinical Practice Guidelines (CPGs) on Perioperative Cardiovascular Evaluation from our respective organizations.1–3 These revisions were begun independently, dictated both by emerging, new information regarding the topic and the controversy regarding the legitimacy of data from previously published pivo...
... Article.jsp. Accessed June 16, 2014. Myerburg RJ, Castellanos A. Approach to cardiac arrest and life-threatening ... PA: Elsevier Saunders; 2011:chap 63. Myerburg RJ, Castellanos A. Cardiac arrest and audden aardiac death. In: ...
During the early introduction of rockets to Europe, they were used only as weapons. Enemy troops in India repulsed the British with rockets. Later, in Britain, Sir William Congreve developed a rocket that could fire to about 9,000 feet. The British fired Congreve rockets against the United States in the War of 1812.
Menzenbach, Jan; Boehm, Olaf
Before non-cardiac surgery, evaluation of cardiac function is no frequent part of surgical treatment. European societies of anesthesiology and cardiology published consensus-guidelines in 2014 to present a reasonable approach for preoperative evaluation. This paper intends to differentiate the composite of perioperative risk and to display the guidelines methodical approach to handle it. Features to identify patients at risk from an ageing population with comorbidities, are the classification of surgical risk, functional capacity and risk indices. Application of diagnostic means, should be used adjusted to this risk estimation. Cardiac biomarkers are useful to discover risk of complications or mortality, that cannot be assessed by clinical signs. After preoperative optimization and perioperative cardiac protection, the observation of the postoperative period remains, to prohibit complications or even death. In consideration of limited resources of intensive care department, postoperative ward rounds beyond intensive care units are considered to be an appropriate instrument to avoid or recognize complications early to reduce postoperative mortality. PMID:27479258
Montt, Cristóbal; Maas, Ineke
In this article, we study the occupational careers of British men during industrialisation. We ask whether careers became more successful during industrialisation and whether British society became more open.Using the Longitudinal Study of Residential Histories dataset we analysed the career of 6229
Carl Sagan, Bruce Murray and Louis Friedman founded the non-profit Planetary Society in 1979 to advance the exploration of the solar system and to continue the search for extraterrestrial life. The Society has its headquarters in Pasadena, California, but is international in scope, with 100 000 members worldwide, making it the largest space interest group in the world. The Society funds a var...
This thesis argues that James Mill's History of British India is, on the one hand, intellectually linked to the Scottish Enlightenment, while, on the other hand, moves beyond that intellectual tradition in the post-French Revolution age. This thesis makes three central claims. First, it argues that in reacting to Montesqueiu's idea of oriental society, the contributors to the Scottish Enlightenment used ideas of moral philosophy, philosophical history and political economy in o...
Odams, H. J. R. (Helen Jean Rachel)
The title of this thesis is 'British Perceptions of the Ottoman Empire (1876-1908). The thesis explores the 'cultural dimension1 of relations between the Ottoman Empire and Britain in this period, involving an examination of ideas about and representations of Ottoman society and its peoples. The overall aim is to stress the importance of these representations in in influencing and affecting relations between Britain and the Ottoman Empire. Nineteenth-century writings about the...
Higgs, D R; Ayyub, H.; Clegg, J B; Hill, A V; Nicholls, R D; Teal, H; Wainscoat, J.S. (James S.); Weatherall, D. J.
Although alpha thalassaemia is rare in north Europeans, it has been identified in British people with no known foreign ancestry. Twelve such patients were studied, of whom eight shared a distinctive molecular defect, which was clearly different from defects seen in subjects of Mediterranean or South East Asian origin. A rare but specific form of alpha thalassaemia is therefore present in the British population. In addition, two patients from families of mixed racial origin were encountered wh...
Full Text Available The 1970 British Cohort Study (BCS70 is one of Britain’s world famous national longitudinal birth cohort studies, three of which are run by the Centre for Longitudinal Studies at the Institute of Education, University of London. BCS70 follows the lives of more than 17,000 people born in England, Scotland and Wales in a single week of 1970. Over the course of cohort members lives, the BCS70 has collected information on health, physical, educational and social development, and economic circumstances among other factors. Since the birth survey in 1970, there have been nine ‘sweeps’ of all cohort members at ages 5, 10, 16, 26, 30, 34, 38 and most recently at 42. Data has been collected from a number of different sources (the midwife present at birth, parents of the cohort members, head and class teachers, school health service personnel and the cohort members themselves. The data has been collected in a variety of ways including via paper and electronic questionnaires, clinical records, medical examinations, physical measurements, tests of ability, educational assessments and diaries. The majority of BCS70 survey data can be accessed by bona fide researchers through the UK Data Service at the University of Essex.
Yoo, Shi Joon; Im, Chung Gie; Yeon, Kyung Mo; Hasn, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)
Cardiac Malposition refers to any position of the heart other than a left-sided heart in a situs solitus individual. Associated cardiac malformations are so complex that even angiocardiographic and autopsy studies may not afford an accurate information. Although the terms and classifications used to describe the internal cardiac anatomy and their arterial connections in cardiac malpositions differ and tend to be confusing, common agreement exists on the need for a segmental approach to diagnosis. Authors present 18 cases of cardiac malpositions in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between 1971 and 1979. Authors analyzed the clinical, radiographic, operative and autopsy findings with the emphasis on the angiocardiographic findings. The results are as follows: 1. Among 18 cases with cardiac malpositions, 6 cases had dextrocardia with situs inversus, 9 cases had dextrocardia with situs solitus and 3 cases had levocardia with situs inversus. 2. There was no genuine exception to visceroatrial concordance rule. 3. Associated cardiac malpositions were variable and complex with a tendency of high association of transposition and double outlet varieties with dextrocardia in situs solitus and levocardia in situs inversus. Only one in 6 cases of dextrocardia with situs inversus had pure transposition. 4. In two cases associated pulmonary atresia was found at surgery which was not predicted by angiocardiography. 5. Because many of the associated complex lesions can be corrected surgically provided the diagnosis is accurate, the selective biplane angiocardiography with or without cineradiography is essential.
Two paradigms that are the source of present-day economic development policies are described. The dominant paradigm is the expansionist world view that assumes economic growth is essentially unlimited, subject to certain constraints, and that the best way to monitor the human economy is through money flows. The steady-state or ecological world view assumes there are real constraints on material throughput and growth, and puts a significant emphasis on natural capital as a form of wealth which is distinct from economic or manufactured capital. Over the long term, each generation must receive from the previous generation at least an adequate stock of natural capital assets to ensure long-term sustainability. For every major category of consumption, such as food and energy, an ecological footprint can be assigned which represents the land needed to sustain a given pattern of consumption. For the lower mainland of British Columbia, this footprint would be about 22 times the actual land area; for the Netherlands, it would be about 15 times larger than the country itself. On a global basis, only about 1.7 hectares per capita of ecologically productive land is actually available, showing that Canadian material standards would not be sustainable on a global level. The steady-state approach to economic development would involve a local and regional approach from the bottom up, preferring small-scale labor-intensive enterprise. Trade would be limited to trading in real ecological surpluses, and value-added products would be made locally instead of shipping raw materials for processing elsewhere. 5 figs
Abdel-Hady, Zakaryya Mohamed [زكريا محمد عبد الهادي
The Muslim community in Britain today face multiple challenges covering a wide range of spectrum from the basic right to exists, fighting the increasing trends of Islamophobia, having equal opportunities, to participate in public life, fully integrate within the society and be a positive member of the community. The recent events of September 11th in the US, July 7th in UK and the more recent row over the ban of the headscarf in UK and other European countries have placed tremendous challenge...
Gatrad, A R; Read, A P; Watson, G. H.
A survey of British born Asian and English populations of children with congenital cardiac anomalies showed an increased incidence in the Muslim Asian population of complex lesions with visceral heterotaxia. There is a very high incidence of parental consanguinity among Muslim Asian children with complex congenital cardiac anomalies that is even higher than in the general Muslim Asian population of the area studied. The evidence suggests an important recessive genetic component in complex car...
Science writer, historian and administrator J.G. Crowther (1899-1983) had an uneasy relationship with the BBC during the 1920s and 1930s, and was regarded with suspicion by the British security services because of his left politics. Nevertheless the Second World War saw him working for 'establishment' institutions. He was closely associated with the BBC's Overseas Service and employed by the British Council's Science Committee. Both organizations found Crowther useful because of his wide, international knowledge of science and scientists. Crowther's political views, and his international aspirations for the British Council's Science Committee, increasingly embroiled him in an institutional conflict with the Royal Society and with its president, Sir Henry Dale, who was also chairman of the British Council's Science Committee. The conflict centred on the management of international scientific relations, a matter close Crowther's heart, and to Dale's. Dale considered that the formal conduct of international scientific relations was the Royal Society's business rather than the British Council's. Crowther disagreed, and eventually resigned from the British Council Science Committee in 1946. The article expands knowledge of Crowther by drawing on archival documents to elucidate a side of his career that is only lightly touched on in his memoirs. It shows that 'Crowther's war' was also an institutional war between the Science Committee of the British Council and the Royal Society. Crowther's unhappy experience of interference by the Royal Society plausibly accounts for a retreat from his pre-war view that institutional science should plan and manage BBC science broadcasts. PMID:27076038
Control de la glucemia en el postoperatorio de cirugía cardíaca: Informe del Consejo de Emergencias de la Sociedad Argentina de Cardiología Blood glucose control during cardiac surgery: Report of the Emergency Council of the Argentine Society of Cardiology
Mariano N. Benzadón
Full Text Available La hiperglucemia en el postoperatorio de cirugía cardÍaca es un hallazgo frecuente asociado a peor evolución, que afecta tanto a diabéticos como no diabéticos. A pesar de las múltiples publicaciones disponibles, aún no existe un abordaje universalmente aceptado a este problema. En una iniciativa originada en el Consejo de Emergencias de la Sociedad Argentina de Cardiología, se convocó a expertos de nuestro medio con el propósito de debatir cómo debe ser el manejo de la glucemia en el paciente crítico cardiovascular. Este documento refleja lo discutido en este evento académico con la intención de resumir los principales aspectos del control de la glucemia en el postoperatorio de cirugía cardíaca.Hyperglycemia after cardiac surgery is a common finding associated with the worse outcomes affecting both diabetic and non diabetic patients. Despite the large number of publications available, there is no universally accepted approach to this problem. In an initiative of the Emergency Council of the Argentine Society of Cardiology, local experts gathered to discuss the management of hyperglycemia after adult cardiac surgery. The main objective of the present paper is to summarize the current state of knowledge regarding glycemic control in postoperative cardiac surgery.
... attack or other heart problem. You might consider cardiac rehab if you have had: Heart attack Coronary heart disease (CHD) Heart failure Angina (chest pain) Heart or heart valve surgery Heart transplant Procedures such as angioplasty and stenting In some ...
Channer, K S
The purpose of this study was to audit the outcome in terms of change in practice of the published research from one volume of the British Medical Journal. All original papers and short reports from one Volume 296 of the British Medical Journal (BMJ) 1988 were read and classified into theoretical only, practical and theoretical and practical. Those papers with any practical message were reviewed by one of a panel of specialists in the subject of the paper to assess if the recommendation made ...
Marshall, Margaret R.
British industrial firm libraries are traced from their beginnings till 1939, by which date they had spread to many branches of industry and had been recognized as an important part of the industrial and library worlds, thus establishing standard patterns of work. The origins and significance of Aslib are discussed. (27 references) (Author/NH)
Soans, Hanno, 1974-
1990ndate kunsti muutumisest. Inglise kunstniku Peter Daviese maalist "Kuum esimene sada" (1996), Gavin Turki vahakujuna valminud autoportreest "Pop". "Young British Art'i" uuskunstist ja Jasper Zoova installatsioonist "F1". Eri analüüsivõimalusi pakkuvatest töödest (Marko Laimre & Ene-Liis Semperi 2000. a. novembri ühisnäituse osa töid).
Dewey, Marc [Charite - Universitaetsmedizin Berlin (Germany). Inst. fuer Radiologie
Computed tomography of the heart has become a highly accurate diagnostic modality that is attracting increasing attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical practice, while also reviewing its current technical status and applications. Clear guidance is provided on the performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial resolution, and faster imaging. The specific features of scanners from all four main vendors, including those that have only recently become available, are presented. Among the wide range of applications and issues to be discussed are coronary artery bypass grafts, stents, plaques, and anomalies, cardiac valves, congenital and acquired heart disease, and radiation exposure. Upcoming clinical uses of cardiac CT, such as plaque imaging and functional assessment, are also explored. (orig.)
Ivanović-Krstić Branislava A.
Full Text Available Cardiac hydatid disease is rare. We report on an uncommon hydatid cyst localized in the right ventricular wall, right atrial wall tricuspid valve left atrium and pericard. A 33-year-old woman was treated for cough, fever and chest pain. Cardiac echocardiograpic examination revealed a round tumor (5.8 x 4 cm in the right ventricular free wall and two smaller cysts behind that tumor. There were cysts in right atrial wall and tricuspidal valve as well. Serologic tests for hydatidosis were positive. Computed tomography finding was consistent with diagnosis of hydatid cyst in lungs and right hylar part. Surgical treatment was rejected due to great risk of cardiac perforation. Medical treatment with albendazole was unsuccessful and the patient died due to systemic hydatid involvement of the lungs, liver and central nervous system.
Working from a feminist/critical cultural studies perspective, which perceives culture and society as imbued with political tensions, I pose two central questions in this article. First, how can community-based, consumer activism be understood as a strategy adopted by marginalised groups to assert rights claims? I focus on British women's…
Richman, Barbara T.
Reports of Loch Ness monsters, Bigfoot, and the Yeti spring u p from time to time, sparking scientific controversy about the veracity of these observations. Now an organization has been established to help cull, analyze, and disseminate information on the alleged creatures. The International Society of Cryptozoology, formed at a January meeting at the U.S. National Museum of Natural History of the Smithsonian Institution, will serve as the focal point for the investigation, analysis, publication, and discussion of animals of unexpected form or size or of unexpected occurrences in time or space.
British Energy is the major nuclear generator in the U.K. It has a market share varying between 22% and 25% of the total U.K. generation. The fleet of power stations operated by British Energy consists of one 1250 MWe Pressurised Water Reactor, six Advanced Gas Cooled reactor sites, each with two reactor units of 660 MWe, and one coal fired site with four units of 500 Mwe. In early 1999 British Energy set a strategic goal, for all its reactor units, to achieve 'World Class Performance through Cost leadership' by the end of year 2004. This would be measured against the applicable Upper Quartile performance indicators of the World Association of Nuclear Operators (WANO). Against this strategic goal six fundamental objectives were identified, one of which was to define, deploy and measure the effectiveness of a world class Operating Experience programme. British Energy has clearly re-defined its Operating Experience programme and, recognised the value of learning from Operating Experience. Commitment to the programme, and communicating the value of an effective OE programme is being clearly demonstrated by all managers throughout the organisation. Making the information easily accessible at the workplace has been achieved via the British Energy intranet, the harder step is to ensure OE is consulted before commencing an assigned task or plant evolution. Early signs of this are encouraging, but a continuous sustained effort will be required for probably the next two years. The full deployment of the OE programme is scheduled to be complete by 2004. There will however be a redefined programme identified by then to incorporate the lessons learnt and to ensure the programme is aligned with the business as it evolves. An analysis of event root causes and precursors since May 2001 will be undertaken in June 2002. These will be compared with data from previous years to ascertain the effect on the number of recurring events. The critical question, 'has this prevented recurring
Hoyer, Caroline; Angermann, Christiane E; Knop, Stefan; Ertl, Georg; Störk, Stefan
Amyloidoses are a heterogeneous group of multisystem disorders, which are characterized by an extracellular deposition of amyloid fibrils. Typically affected are the heart, liver, kidneys, and nervous system. More than half of the patients die due to cardiac involvement. Clinical signs of cardiac amyloidosis are edema of the lower limbs, hepatomegaly, ascites and elevated jugular vein pressure, frequently in combination with dyspnea. There can also be chest pain, probably due to microvessel disease. Dysfunction of the autonomous nervous system or arrhythmias may cause low blood pressure, dizziness, or recurrent syncope. The AL amyloidosis caused by the deposition of immunoglobulin light chains is the most common form. It can be performed by monoclonal gammopathy. The desirable treatment therapy consists of high-dose melphalan therapy twice followed by autologous stem cell transplantation. Due to the high peritransplantation mortality, selection of appropriate patients is mandatory. The ATTR amyloidosis is an autosomal dominant disorder caused by the amyloidogenic form of transthyretin, a plasmaprotein that is synthesized in the liver. Therefore, liver transplantation is the only curative therapy. The symptomatic treatment of cardiac amyloidosis is based on the current guidelines for chronic heart failure according to the patient's New York Heart Association (NYHA) state. Further types of amyloidosis with possible cardiac involvement comprise the senile systemic amyloidosis caused by the wild-type transthyretin, secondary amyloidosis after chronic systemic inflammation, and the beta(2)-microglobulin amyloidosis after long-term dialysis treatment. PMID:18344065
Childs, G. H. L.; Morrow, G.
Factors influencing the emergence of local area network (LANs) are covered along with British Telecom's involvement in Project Universe, an experiment to produce high-speed data links between several LANs in the United Kingdom with the Orbital Test Satellite (OTS). Other functions of Project Universe include measuring the network components performance, developing procedures for using the system for computer-computer and terminal-computer operations, and investigating the use of LAN satellites for business and computer communications. British Telecom has been involved with Project Universe since its inception. A standard Videotex system has been connected to the Cambridge Ring, consequently providing Videotex terminals attached to the ring access to a special Universe Prestel system. Future goals include replacing the OTS with a new satellite with a terminal operating at 8-10 Mbit/s. Block diagrams are provided.
European Association of Cardiovascular Imaging/Cardiovascular Imaging Department of the Brazilian Society of Cardiology recommendations for the use of cardiac imaging to assess and follow patients after heart transplantation.
Badano, Luigi P; Miglioranza, Marcelo H; Edvardsen, Thor; Colafranceschi, Alexandre Siciliano; Muraru, Denisa; Bacal, Fernando; Nieman, Koen; Zoppellaro, Giacomo; Marcondes Braga, Fabiana G; Binder, Thomas; Habib, Gilbert; Lancellotti, Patrizio
The cohort of long-term survivors of heart transplant is expanding, and the assessment of these patients requires specific knowledge of the surgical techniques employed to implant the donor heart, the physiology of the transplanted heart, complications of invasive tests routinely performed to detect graft rejection (GR), and the specific pathologies that may affect the transplanted heart. A joint EACVI/Brazilian cardiovascular imaging writing group committee has prepared these recommendations to provide a practical guide to echocardiographers involved in the follow-up of heart transplant patients and a framework for standardized and efficient use of cardiovascular imaging after heart transplant. Since the transplanted heart is smaller than the recipient's dilated heart, the former is usually located more medially in the mediastinum and tends to be rotated clockwise. Therefore, standard views with conventional two-dimensional (2D) echocardiography are often difficult to obtain generating a large variability from patient to patient. Therefore, in echocardiography laboratories equipped with three-dimensional echocardiography (3DE) scanners and specific expertise with the technique, 3DE may be a suitable alternative to conventional 2D echocardiography to assess the size and the function of cardiac chambers. 3DE measurement of left (LV) and right ventricular (RV) size and function are more accurate and reproducible than conventional 2D calculations. However, clinicians should be aware that cardiac chamber volumes obtained with 3DE cannot be compared with those obtained with 2D echocardiography. To assess cardiac chamber morphology and function during follow-up studies, it is recommended to obtain a comprehensive echocardiographic study at 6 months from the cardiac transplantation as a baseline and make a careful quantitation of cardiac chamber size, RV systolic function, both systolic and diastolic parameters of LV function, and pulmonary artery pressure. Subsequent
This is part of a series of brochures published by the Petroleum Communication Foundation, a non-profit society established in 1975. The foundation's objective is to stimulate public awareness and understanding of Canada's petroleum industry and its contribution to the economy of each of the provinces where the industry's presence and impact is substantial. This brochure provides brief, but useful, information about British Columbia, about its area (947,800 sq.km), capital (Victoria), population (4.009,922 in 1998), major industries (forestry, wood and paper, petroleum and mining, tourism, agriculture, fishing, manufacturing), revenue from natural resources ($ 350 million from oil and natural gas in 1998-1999, or about 20 per cent of total provincial government revenues), some facts about the petroleum industry in British Columbia, (production, employment, pipelines, etc.), major exports (wood products, pulp and paper products, machinery and equipment, coal, petroleum products, electricity) and upstream industry expenditures in British Columbia (in excess of $ 1 billion). map, pie-chart, figs
Chlumský, Jaromír; Holá, Dana; Hlaváček, Karel; Michal, Michal; Švec, Alexander; Špatenka, Jaroslav; Dušek, Jan
Cardiac sarcoma is a very rare neoplasm and is difficult to diagnose. The case of a 51-year-old man with a left atrial tumour, locally recurrent three months after its surgical removal, is presented. Computed tomography showed metastatic spread to the lung parenchyma. On revised histology, the mass extirpated was a sarcoma. Because of the metastatic spread, further therapy was symptomatic only; the patient died 15 months after the first manifestation of his problems. Immunohistochemical stain...
Stone, J L
nerve regeneration and nerve grafting, and after many years of devoted research, he devised successful operations for facial nerve paralysis. For this and early vascular work, he is often credited as the first English surgeon to reintroduce classical Hunterian methods of experiment into surgery. He was honored as the founder and President of The Society of British Neurological Surgeons in 1926. Perhaps best known as a general and aural surgeon, Ballance was second only to Horsley in reputation as a pioneer British neurological surgeon. Described as a painstakingly slow but delicate and meticulous operator, Ballance made a contribution to neurosurgery and temporal bone surgery that was immense.
Singh, Basil R.
Explores the place of minority rights within two liberal societies, focusing on immigrants from former French and British colonies, by examining two court cases that address cultural and religious expression (wearing cultural/religious attire in schools). Examines how the societies' procedures and ideologies resulted in different outcomes for…
... Culturally Significant Objects Imported for Exhibition Determinations: ``Johan Zoffany RA: Society Observed... determine that the objects to be included in the exhibition ``Johan Zoffany RA: Society Observed,'' imported... that the exhibition or display of the exhibit objects at the Yale Center for British Art, New...
Giulianotti, Richard; Brownell, Susan
This paper introduces the special issue of the British Journal of Sociology on the subject of the transnational aspects of Olympic and world sport. The special issue is underpinned by the perspective that because sport provides a space for the forging of transnational connections and global consciousness, it is increasingly significant within contemporary processes of globalization and the making of transnational society. In this article, we examine in turn eight social scientific themes or problems that are prominent within the special issue: globalization, glocalization, neo-liberal ideologies and policies, transnational society, securitization, global civil society, transnational/global public sphere, and fantasy/imagination. We conclude by highlighting five 'circles' of future research inquiry within world sport that should be explored by social scientists. PMID:22670644
Past research has neglected second generation onward immigrant families in Britain as they further acculturate into host society culture, as well as the experiences of majority ethnic-group families in relation to second generation immigrant families. The central focus of this study was an in-depth assessment of the similarities and differences in parenting practices, parent-child relationships, child psychological adjustment and parental social experiences in British-born Indian, Pakistani a...
Dodson, Charles Brooks
The seeming remoteness of material studied in a British literature survey course can be frustrating for the teacher. Students may find little relevance in the story of Beowulf or the descriptions of Gulliver's voyages. However, instructors can highlight the contemporaneity of British literary texts by drawing parallels to modern times. For…
Adkison-Bradley, Carla; Maynard, Donna; Johnson, Phillip; Carter, Stephaney
Depression is a common condition among women in the United Kingdom. However, little is known about the context of depression among British African Caribbean women. This article offers a preliminary discussion regarding issues and information pertaining to depression among British African Caribbean women. Characteristics and symptoms of depression…
Linkin, Harriet Kramer
Describes and reports on a survey of 164 U.S. universities to ascertain what is taught as the current canon of British Romantic literature. Asserts that the canon may now include Mary Shelley with the former standard six major male Romantic poets, indicating a significant emergence of a feminist perspective on British Romanticism in the classroom.…
British and American literature teachings and university English the teaching isn＇t self-contradict,can be complement each other.Strengthen British and American literature teachings,contribute to an improvement our country English education,develop high c
Full Text Available The paper examines the way the Falklands War of 1982 was reflected in the creation of British playwrights. Officially, the war was seen as a heroic act, as another glorious page in the book of British history. But for many writers it contained nothing heroic; it was just noisy brandishing of weapons and useless loss of human lives.
Ngai-Shing Mok; Ching-Wan Lam; Nai-Chung Fong; Yim-Wo Hui; Yuen-Choi Choi; Kwok-Yin Chan
@@ Sudden cardiac death (SCD) in children and adolescents is uncommon and yet it is devastating for both victim's family and the society.Recently, it was increasingly recognized that SCD in young patients with structurally normal heart may be caused by inheritable primary electrical diseases due to the malfunction of cardiac ion channels, a disease entity known as the ion channelopathies.Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a specific form of ion channelopathy which can cause cardiac syncope or SCD in young patients by producing catecholamine-induced bi-directional ventricular tachycardia (BiVT), polymorphic VT and ventricular fibrillation (VF) during physical exertion or emotion.1-7 We reported here an index case of CPVT caused by cardiac ryanodine receptor gene (hRyR2)mutation which presented as cardiac syncope and sudden cardiac arrest in a Chinese adolescent female.
The Society of Reproductive Surgeons Home About Us About SRS Mission Statement Officers The Role of Reproductive Surgeons For ... Fact Sheets and Booklets SRS is an affiliated society to the American Society for Reproductive Medicine . Below ...
Cardiac magnetic resonance imaging (CMR) is often used in athletes to image cardiac anatomy and function and is increasingly requested in the context of screening for pathology that can cause sudden cardiac death (SCD). In this thesis, patterns of cardiac adaptation to sports are investigated with C
Cowie, Peter, Ed.
This publication resulted from a project of the British Film Institute (bfi). The aim was to emphasize that cinema takes a number of different forms, fulfills a variety of roles within different societies, and has different models of its social function. Toward this end, film-makers from all over the world were invited to write a diary about the…
As businesses are going global, it is inevitable to enter new markets. That means that the companies should be ready to perform business in different counties, which can bring misunderstanding due to diverse specifics of cultures. Hence, it will bring more understanding if one starts to analyze and compare corporate cultures and communication. The main goals of this thesis are to explore Italian and British corporate cultures and to compare types of their societies in order to recognize ...
The specific development of South African society was largely predetermined by the level of socio-historical development of the southern African region to colonial invasion, and transformation features introduced by the South African continent by the British colonialists. The colonial past of South Africa continues to be stored in memory and the psychology of the new generations of the native population. And for a better understanding of the socio-political difficulties faced by the peoples o...
Simpson, William A.
A study of 14 British universities that underwent severe retrenchment in 1981-1984 is reported, and successful policies, procedures, philosophies, and techniques that may be applicable to institutions in many countries are outlined. (MSE)
the imperial diasporas, identities and networks that developed as the British engineering profession established connections on the African continent. Using a wide range of primary sources that include correspondence, diaries, technical reports, institutional minutes and periodicals, Andersen reconstructs...
The impact on nine British universities' of substantial financial reductions in 1980-81 and the policy implications for national funding agencies are examined. Implementation of institutional retrenchment plans and the role of high-level administrators are discussed. (MSE)
Lakin, S. J.
This thesis investigates the philosophical assumptions which underpin established theories of the British constitution, paying particular attention to the influence of traditional (and sometimes outdated) theories of legal positivism. I attempt to identify, analyze and challenge these assumptions, exploring how recent developments in legal theory can inform and enrich our approach to British constitutional theory. Drawing, in particular, on the anti-positivist theory of Ronald Dworkin, I cont...
A review of the occupational hazards experienced by non-coal miners in British mines is presented, with emphasis on the radiation hazards of radon. Topics reviewed include legislation and radiation standards, radiation monitoring methods in Britain, the geology of the Pennine range wherein the tin and fluorspar mines are located, and survey and workplace monitoring results. Lung cancer risk coefficients are derived from radon decay product data and from British epidemiology on lung cancer
Piercy, Hilary; Chowbey, Punita; Soady, John; Dhoot, Parmjeet; Willis, Lerleen; Salway, Sarah
Purpose – The authors examined the cardiac care pathway with the aim of identifying factors that impact on diagnosis and treatment of coronary heart disease in British Pakistani women. Design/methodology/approach – This is an exploratory qualitative study. In depth interviews and focus groups with an opportunistic sample of Pakistani women and a purposive sample of clinicians working at different points along the care pathway were conducted. The authors used a pathways to care approach to ...
The evidence regarding specific cardiac perception and discrimination, and its relationship to voluntary cardiac control, is critically reviewed. Studies are considered in three sections, depending on the method used to assess cardiac perception: questionnaire assessment, discrimination procedures, and heartbeat tracking. The heartbeat tracking procedure would appear to suffer least from interpretative difficulties. Recommendations are made regarding the style of analysis used to assess heartbeat perception in such tracking tasks. PMID:348240
van Rossum Albert C; Raman Subha V; McConnell Michael V; Lawson Mark A; Higgins Charles B; Friedrich Matthias G; Bogaert Jan G; Bluemke David; Hundley W Gregory; Flamm Scott; Kramer Christopher M; Nagel Eike; Neubauer Stefan
Abstract These reporting guidelines are recommended by the Society for Cardiovascular Magnetic Resonance (SCMR) to provide a framework for healthcare delivery systems to disseminate cardiac and vascular imaging findings related to the performance of cardiovascular magnetic resonance (CMR) examinations.
Full Text Available Social life is produced. Social life takes place before the fact of thinking about it. Drawing upon elements coming from utopian Socialism. British economy and, especially, Hegel’s philosophy, Marx proposed a set of dialectic categories addressed to thinking and to explaining how social life is produced, including in these dynamics the production of ourselves. In this paper, the guidelines of Marx’ thoughts are shown starting from the reading and analysis of his own texts. Also, the pertinence of the relationship between Marx and the research of society is argued through the material objects which make any society real: the archaeological research.
La vida social se produce. La vida social es anterior al hecho de pensarla. Basándose en elementos procedentes del socialismo utópico, la economía británica y, sobre todo, la filosofía de Hegel, Marx propuso categorías dialécticas para pensar y explicar cómo se produce la vida social, y nosotros en ella. En este artículo se exponen las líneas básicas del pensamiento de Marx a partir de una lectura y análisis de sus propios textos, y se argumenta la pertinencia de la relación entre dicho pensamiento y la investigación de la sociedad a partir de los objetos materiales que la hicieron posible: la investigación arqueológica.
Khoo Kay Kim
This study attempts to explicate what happened to the Malays between the turn of the 20th century and the beginning of World War II. This is important to underscore the fact that, contrary to general impressions, Islam did not hold back the progress of the Malays, and that even before World War II, major changes were taking place in Malay society. Modernity in Malay society began to emerge even before World War I. Although the intrusion of British administration to a great extent contributed ...
Critical observations are made about British nuclear power policy, its financing and execution. The subject is dealt with in chapters, entitled: introduction, conventional wisdom; electricity, the energy user; the electricity establishment; the electric nucleus; forecasts and their fulfilment: money for megawatts; saving labour with electricity; power to the powerful; nuclear electricity, future imperative. (U.K.)
A.S. Amin; A. Asghari-Roodsari; H.L. Tan
Cardiac sodium channel are protein complexes that are expressed in the sarcolemma of cardiomyocytes to carry a large inward depolarizing current (I-Na) during phase 0 of the cardiac action potential. The importance of I-Na for normal cardiac electrical activity is reflected by the high incidence of
We present the cardiac magnetic resonance images of an unusual form of cardiac tuberculosis. Nodular masses in a sheet-like distribution were seen to infiltrate the outer myocardium and pericardium along most of the cardiac chambers. The lesions showed significant resolution on antitubercular therapy
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This article is an entry to be published in an International Encyclopedia of Civil Society in 2009. Mutual organizations exist everywhere in developed and developing countreies as well. After a definition founded on social economy principles, the paper gives the historical background of mutual insurance companies, mutual benefit societies and building societies. Then we draw a panorama of the European mutual societies with international perspectives on the USA and some developing countries. S...
Philip E. Steinberg
Full Text Available Learned societies have become aligned with commercial publishers, who have increasingly taken over the latter’s function as independent providers of scholarly information. Using the example of geographical societies, the advantages and disadvantages of this trend are examined. It is argued that in an era of digital publication, learned societies can offer leadership with a new model of open access that can guarantee high quality scholarly material whose publication costs are supported by society membership dues.
Stăncuţa Ramona DIMA-LAZA
Full Text Available The present paper analyses an anti-utopic society,emphasizing the importance of individual liberty over doing the right thing asdescribed and satirized by British writer Anthony Burgess in the book entitled AClockwork Orange. This matter of choice and free will is characteristic todystopian societies which represent a futuristic universe in which the oppressivecontrol of the state changes people’s lives. It depicts in a shocking manner theeffects a dystopian society has over the individual. Dystopian characters makeuse of human weaknesses in order to set forth and to prove the destructivepower of authoritarian rule. Dystopian societies demoralize people, deprivethem of the ability of taking decisions while their personal desires either good orevil, are taken over by the state.
Full Text Available Four overlapping analytical frameworks focusing upon domestic British politics are applied to explain the detailed development of the policy on the euro maintained by the Conservative Government then Party in opposition and the Labour Party opposition and then Government: intra-party politics; inter-party politics; public opinion and the nature of British democracy; and neo-pluralism (competing economic and other interests. This article posits that British government - and in particular Labour Government - reluctance to hold a referendum on euro membership and actively push a pro-euro policy can be best explained in terms of ideologically infused intra- (rather than inter- party politics and the realities of pluralist politics, while explanations rooted in an analysis of public opinion are less helpful.
Full Text Available In this paper the author argues that the still frequent and simplistic distinction between Keynesians and monetarists that makes up a large part of the British popular economic debate has become seriously misleading. Changes that have taken place in British macroeconomics since the early 1970s are thus indicated and some of the theoretical and empirical factors responsible for these changes are suggested. The author presents a brief characterisation of British Keynesianism and monetarism as of late 1960s/early 1970s, arguing that there have been important elements of convergence. He proceeds to discuss some of the theoretical developments and some of the experiences of UK macroeconomic policy which have contributed to this convergence. Finally, he considers whether the labels “Keynesian” and “monetarist” continue to be relevant.
Nicolson, H. J.; Curtis, A.; Baptie, B.
In recent years, surface wave tomography using empirical Green’s functions computed via the ambient noise interferometry method has become an established approach to lithospheric imaging problems. To date, ambient noise tomography has been successfully applied to seismometer arrays in the United States, Australia, Iceland, China, South Africa, Europe and the Tibetan Plateau. The basis of the ambient seismic interferometry method is that, by cross-correlating noise data between two seismic stations and stacking over a long enough time period, one can approximate the Green’s Function that would have been recorded at one of the stations if the other had actually been a source. Consequently, one of the main advantages of ambient noise interferometry is that traditional seismic sources such as earthquakes or ballistics are not required; therefore it is ideal for application to seismically quiescent areas such as the British Isles. The British Isles are an archipelago located adjacent to the Eurasian continental shelf in a typically intra-plate setting, formed by a complex amalgamation of several terranes. These range from Laurentian north of the Highland Boundary fault to Avalonian south of the Iapetus Suture and evidence of the regions turbulent geological past can be inferred from its lithospheric structure. Previous studies of the structure of the British Isles considered relatively few seismic stations and/or were limited to using offshore shots, quarry blasts or teleseismic earthquakes as seismic energy sources. We have applied the ambient noise tomography method to noise data recorded on approximately 100 broadband and short period seismometers, including many new stations, in the British Isles and mainland Europe. This dense coverage of the British Isles allows us to image the crust and upper mantle velocity structure with a horizontal resolution in the region of 100km across the North Sea and 30km in the mainland United Kingdom. Here we present the first
De Barros, Juanita
This paper examines the ambiguous place of medical assistants-dispensers-in a post-slavery British Caribbean colony, British Guiana, from the end of slavery in the 1830s to the early twentieth century. Although the latter were crucial to the functioning of the colonial medical system, local physicians resented them, complaining about the economic threat they posed and at times condemning them as quacks. These attacks were part of a wider discussion about the composition of the medical profession and the role of medical auxiliaries in colonial society, and to an extent, they echoed debates conducted in other jurisdictions in this period. But in the British Caribbean, this discussion was significantly different. There, long-standing views about obeah-an Afro-Creole medico-religious practice-as a particularly dangerous and uncivilised type of quackery was part of the discursive context. That those participating in this debate included African-descended physicians whose arrival in the medical profession was recent and contested demonstrates the vexed and complex nature of professionalisation in a post-slavery society.
”Art and psychoanalysis – 15 June 1988. Speakers: Professor Joseph Sandler and Professor Sir Ernst Gombrich”, part of the series “Dialogues on Contemporary Issues” hosted by the British Psycho-Analytical Society in the summer term of 1988
Rachel Dedman (ed.
Full Text Available The previously unpublished conversation between Ernst Gombrich and Joseph Sandler in 1988 constitutes an exciting meeting of minds in the field of art history and psychoanalysis, respectively. The two discuss ‘the artist’ as a term; the impulse inherent in the creation of art; taste; and the affective power of art, particularly in the light of the work of Freud and their shared friend, Ernst Kris. Gombrich seems both comfortable with the psychoanalytic theory they discuss, and also keen to steer the discussion in certain directions – quoting from Cicero, Van Gogh and I.E. Richards. At the point at which questions are opened up to the audience, the most interesting thing of note is the revelation that Gombrich was a member of ‘The Image Group’, which research has revealed was more accurately known as ‘The Imago Group,’ a society of psychoanalysts and dedicated analysands, of which Gombrich’s membership is unusual. As Gombrich is often considered reticent about psychoanalysis, this dialogue constitutes evidence that late in life he continued to engage in discussion about its application and interpretation in an artistic context.
Михаил Алексеевич Есипов
Full Text Available Communication culture formation belongs to most essential problems for pedagogical theory and practice. The level of a teacher’s communication culture influences greatly the efficiency of his professional communication with colleagues and students.The peculiarities of teachers’ communication culture formation in the British educational system are considered. Main characteristics of a communication-oriented teacher are mentioned. Criteria for specifying the level of British teachers’ communication culture formedness as well as brief description of these levels are given in this article.DOI: http://dx.doi.org/10.12731/2218-7405-2013-1-13
Parsons Jonathan M
Full Text Available Abstract Cardiac tumours are benign or malignant neoplasms arising primarily in the inner lining, muscle layer, or the surrounding pericardium of the heart. They can be primary or metastatic. Primary cardiac tumours are rare in paediatric practice with a prevalence of 0.0017 to 0.28 in autopsy series. In contrast, the incidence of cardiac tumours during foetal life has been reported to be approximately 0.14%. The vast majority of primary cardiac tumours in children are benign, whilst approximately 10% are malignant. Secondary malignant tumours are 10–20 times more prevalent than primary malignant tumours. Rhabdomyoma is the most common cardiac tumour during foetal life and childhood. It accounts for more than 60% of all primary cardiac tumours. The frequency and type of cardiac tumours in adults differ from those in children with 75% being benign and 25% being malignant. Myxomas are the most common primary tumours in adults constituting 40% of benign tumours. Sarcomas make up 75% of malignant cardiac masses. Echocardiography, Computing Tomography (CT and Magnetic Resonance Imaging (MRI of the heart are the main non-invasive diagnostic tools. Cardiac catheterisation is seldom necessary. Tumour biopsy with histological assessment remains the gold standard for confirmation of the diagnosis. Surgical resection of primary cardiac tumours should be considered to relieve symptoms and mechanical obstruction to blood flow. The outcome of surgical resection in symptomatic, non-myxomatous benign cardiac tumours is favourable. Patients with primary cardiac malignancies may benefit from palliative surgery but this approach should not be recommended for patients with metastatic cardiac tumours. Surgery, chemotherapy and radiotherapy may prolong survival. The prognosis for malignant primary cardiac tumours is generally extremely poor.
Saha, T. K.
The Indian Vacuum Society (IVS) was established in 1970. It has over 800 members including many from Industry and R & D Institutions spread throughout India. The society has an active chapter at Kolkata. The society was formed with the main aim to promote, encourage and develop the growth of Vacuum Science, Techniques and Applications in India. In order to achieve this aim it has conducted a number of short term courses at graduate and technician levels on vacuum science and technology on topics ranging from low vacuum to ultrahigh vacuum So far it has conducted 39 such courses at different parts of the country and imparted training to more than 1200 persons in the field. Some of these courses were in-plant training courses conducted on the premises of the establishment and designed to take care of the special needs of the establishment. IVS also regularly conducts national and international seminars and symposia on vacuum science and technology with special emphasis on some theme related to applications of vacuum. A large number of delegates from all over India take part in the deliberations of such seminars and symposia and present their work. IVS also arranges technical visits to different industries and research institutes. The society also helped in the UNESCO sponsored post-graduate level courses in vacuum science, technology and applications conducted by Mumbai University. The society has also designed a certificate and diploma course for graduate level students studying vacuum science and technology and has submitted a syllabus to the academic council of the University of Mumbai for their approval, we hope that some colleges affiliated to the university will start this course from the coming academic year. IVS extended its support in standardizing many of the vacuum instruments and played a vital role in helping to set up a Regional Testing Centre along with BARC. As part of the development of vacuum education, the society arranges the participation of
Hasselback, P. [Interior Health Authority, Kelowna, BC (Canada); Taylor, E. [British Columbia Ministry of Health Living and Sport, Vancouver, BC (Canada)
The new Air Quality Health Index (AQHI) is a tool aiming to present the health risks related to air pollution in Canada. This index can be used by individuals to help them reduce their health risk resulting from poor air quality. An assessment of the short term health risk induced by poor air quality is provided to Canadians through the AQHI. The AQHI is based on three factors: ambient concentrations of nitrogen dioxide, fine particulate matter and ozone, the local air quality information being presented on an hourly and daily basis and being calculated each hour for several locations across Canada. Pulmonary disorders and impacts on cardiac function are the more significant short term health risks. Longer term exposure to poor air quality is associated with increased rates of allergies and asthma, low birth weight, atherosclerosis, poorer lung development in children, lung cancer and ear infections. Information on the AQHI and on the variation across British Columbia of the health risk associated with this index are presented in this document. 19 refs., 5 tabs., 5 figs.
Full Text Available Global recession and the economic crisis have affected contemporary British society in predictable ways. But this age of austerity has also unveiled the continued sinister machinations of whiteness. While not necessarily homogeneous, austerity rhetoric, as it is currently conventionally deployed, works to perpetuate white masculinist privilege and further entrenches the normative value of whiteness, while simultaneously masking and marginalizing those ethnic minority populations traditionally othered from mainstream sociopolitical discourse. More specifically, recent austerity measures adversely affect the situation of women and the future of feminist theory and practice in British higher education. This paper investigates and problematizes the deployment of austerity discourse within higher learning for its perpetuation of the normativity and hegemony of a masculinist whiteness, which further disadvantages (white women and disrupts the practice of feminism(s in academia.
John Douglas Belshaw [University College of the Cariboo, Kamloops, BC (Canada). Department of Philosophy, History, and Politics
In the nineteenth century coal-miners imported from Europe, Asia, and eastern North America burrowed beneath the Vancouver Island towns of Nanaimo, Wellington, and Cumberland. The book looks at British Columbia's first working class, the men, women, and children beneath and beyond the pit-head. Beginning with an exploration of emigrant expectations and ambitions, it investigates working conditions, household wages, racism, industrial organization, gender, schooling, leisure, community building, and the fluid identity of the British mining colony, the archetypal west coast proletariat. By connecting the story of Vancouver Island to the larger story of Victorian industrialization, the author delineates what was distinctive and what was common about the lot of the settler society.
Tyler, Len; Evans, Ann
A study of the past can help us understand present-day management structures. Strong parallels can be seen between the present-day British National Health Service (NHS) and English feudal society in the early Middle Ages. Both systems are hierarchical, both show limited mobility between layers in the hierarchies and in both there is a strong element of central control coexisting with significant day-to-day delegation of responsibility. Ceremony plays a key role in relationships, such as through the swearing of liege homage in feudal society and through formal assessment and appraisal in the modern NHS. Although the NHS clearly does not show parallels for every element of feudal society, it is possible to draw practical lessons from the comparison, particularly relating to the ownership of problems, team-working and appraisal. PMID:12683435
Full Text Available The healthy adult heart has a low turnover of cardiac myocytes. The renewal capacity, however, is augmented after cardiac injury. Participants in cardiac regeneration include cardiac myocytes themselves, cardiac progenitor cells, and peripheral stem cells, particularly from the bone marrow compartment. Cardiac progenitor cells and bone marrow stem cells are augmented after cardiac injury, migrate to the myocardium, and support regeneration. Depletion studies of these populations have demonstrated their necessary role in cardiac repair. However, the potential of these cells to completely regenerate the heart is limited. Efforts are now being focused on ways to augment these natural pathways to improve cardiac healing, primarily after ischemic injury but in other cardiac pathologies as well. Cell and gene therapy or pharmacological interventions are proposed mechanisms. Cell therapy has demonstrated modest results and has passed into clinical trials. However, the beneficial effects of cell therapy have primarily been their ability to produce paracrine effects on the cardiac tissue and recruit endogenous stem cell populations as opposed to direct cardiac regeneration. Gene therapy efforts have focused on prolonging or reactivating natural signaling pathways. Positive results have been demonstrated to activate the endogenous stem cell populations and are currently being tested in clinical trials. A potential new avenue may be to refine pharmacological treatments that are currently in place in the clinic. Evidence is mounting that drugs such as statins or beta blockers may alter endogenous stem cell activity. Understanding the effects of these drugs on stem cell repair while keeping in mind their primary function may strike a balance in myocardial healing. To maximize endogenous cardiac regeneration,a combination of these approaches couldameliorate the overall repair process to incorporate the participation ofmultiple cell players.
British English and American English are two varieties of English. American English derived from British English and they have many similarities and differences. British English and American English are different in pronunciation, spelling, vocabu⁃lary and customary usage/syntax, etc.
This article reports on research carried out on behalf of the Council of British International Schools (COBIS) as to the role and deployment of British international school teaching assistants. Through questionnaires and a follow up open discussion with headteachers from British international schools it was found that, due to the differing…
Rose, F Clifford
In the UK, neurology stemmed from general (internal) medicine rather than psychiatry. In 1886 the Neurological Society of London was founded, with Hughlings Jackson as its first President. After World War I, Kinnier Wilson was made Physician in Charge of the first independent department of neurology, which was at Westminster Hospital in London. Although before the 17th century there were British doctors who took an interest in diseases of the nervous system, e.g. Gilbertus Anglicus (c. 1230), who distinguished epilepsy from apoplexy, and Bartholomeus Anglicus, whose encyclopedia (c. 1260) provided the first picture of a dissection printed in English, John of Gaddesden (1280-1361) was the first in Britain to produce a manuscript on neurological disorders. Thomas Willis (1621-1675) was the founder of Neurology, being the first to use the term, and was also the leader of the first multidisciplinary team in neurological science, helping to shift attention from the chambers of the brain to the brain substance itself. He wrote seven books, all but the last in Latin, and his second one, Cerebri anatome (1664) was the first on the nervous system to include the brain, spinal cord and peripheral nerves, introducing such new terms as lentiform body, corpus striatum, optic thalamus, inferior olives and peduncles. Most of his neurology was in his fifth book, De anima brutorum (1672). Before Willis the brain was a mystery, but his work laid the foundations for neurological advances. After the 17th century of William Harvey and Thomas Sydenham and the 18th century of William Heberden and Robert Whytt there followed the 19th century of James Parkinson (1755-1824), John Cooke (1756-1838), Sir Charles Bell (1774-1842), Marshall Hall (1790-1856) and Bentley Todd (1809-1860). Besides its "Father," Hughlings Jackson, the giants who established the unique superiority of British neurology were Sir William Gowers, Sir David Ferrier, Kinnier Wilson, Sir Gordon Holmes and Sir Charles
This booklet, containing eight instructional modules on works by major British writers, can be used either within a lower-level literature course for non-English majors or in a survey course for English majors. The first four modules focus on works from the early English period through the Elizabethan Age: "Beowulf,""Sir Gawain and the Green…
This paper describes the storage of the 12 million items that have just been moved into the new British Library building. The specifications for the storage and environmental conditions for different types of library and archive material are explained. The varying environmental parameters for storage areas and public areas, including reading rooms…
A young American entered a compartment on a British train, and discovered that all seats were occupied, including one on which a small dog was seated. To his owner, a middle-aged lady who wore a large hat, he said po-
Countries around the world refer to twenty-first century education as essential to maintaining personal and national economic advantage and draw on this discourse to advocate for and embark on educational reform. This paper examines issues around education reform, particularly in British Columbia. It argues that reformers should give careful…
In Britain, fundamental physics is in a pickle ISAAC NEWTON, besides being the founder of modern physics, was also master of Britain's mint. That is a precedent which many British physicists must surely wish had become traditional. At the moment, money for physics is in short supply in Britain.
The nature and impact of reforms since 1988 in British education, both compulsory and postsecondary, are examined, focusing on changes in organizational structure and financing mechanisms. The success of these changes in meeting their objectives is assessed, and unresolved issues are identified. (MSE)
Considers the impact of African centered knowledge within the United Kingdom. Recent development of African Diaspora studies has forged links between various black Atlantic communities. The United Kingdom has experienced positive grassroots community response to the work of noted African centered scholars, yet within the British academy,…
Kruse, Frigga; Claughton, P.; Mills, C.
The LASHIPA project participated in the recent International Polar Year to evaluate the large-scale historical exploitation of polar areas. This sub-project looks at the role of British actors in the economic and geopolitical development of the European High Arctic during the early twentieth century
Devereux, Paul J.; Fan, Wen
We study the effects of the large expansion in British educational attainment that took place for cohorts born between 1970 and 1975. Using the Quarterly Labour Force Survey, we find that the expansion caused men to increase education by about a year on average and gain about 8% higher wages; women obtained a slightly greater increase in education…
Full Text Available Abstract Context There is considerable concern about the spread of HIV disease among Aboriginal peoples in British Columbia. Objective To estimate the number of Aboriginal British Columbians infected with HIV. Design and setting A population-based analysis of Aboriginal men and women in British Columbia, Canada from 1980 to 2001. Participants Epidemic curves were fit for gay and bisexual men, injection drug users, men and women aged 15 to 49 years and persons over 50 years of age. Main outcome measures HIV prevalence for the total Aboriginal population was modeled using the UNAIDS/WHO Estimation and Projection Package (EPP. Monte Carlo simulation was used to estimate potential number infected for select transmission group in 2001. Results A total of 170,025 Aboriginals resided in British Columbia in 2001, of whom 69% were 15 years and older. Of these 1,691 (range 1,479 – 1,955 men and women aged 15 years and over were living with HIV with overall prevalence ranging from 1.26% to 1.66%. The majority of the persons infected were men. Injection drug users (range 1,202 – 1,744 and gay and bisexual men (range 145, 232 contributed the greatest number of infections. Few persons infected were from low risk populations. Conclusion More than 1 in every 100 Aboriginals aged 15 years and over was living with HIV in 2001. Culturally appropriate approaches are needed to tailor effective HIV interventions to this community.
In the period since 2001, cinema has witnessed what David Butler refers to as a ‘golden age’ of fantasy film production. The majority of fantasy films released during this time have originated from British literature, and have to some extent been produced and located within Britain, showcasing a wealth of national characters, acting talent, and landscapes on screen. Yet, despite vital revisionist work conducted on British horror, science fiction and melodrama, there remains a hesitancy to emb...
Chan, Yiu Man
Evaluates the self-esteem scores of 1303 children, including Chinese children from Britain and Hong Kong and white British children, using the Coopersmith Self-Esteem Inventory. Finds that British Chinese have significantly higher self-esteem than the Hong Kong children, but there is little difference among white British children. (CMK)
... Webinars Publications & Resources Clinical Practice Guidelines SAMBA Link Digital ... We Represent Ambulatory and Office-Based Anesthesia The Society for Ambulatory Anesthesia provides educational opportunities, encourages research ...
Full text: There is no doubt that the Internet is going to be the communications power tool of the future. Judging by the number of top line companies who have quality websites and the number of website addresses that appear in press and television advertisements, few organisations who mean business can afford to ignore this exciting, fast moving medium. The Internet - millions of computers which can 'talk to each other' via telephone lines - has been described as revolutionary in communication terms as the wheel was to transport. As we enter a new millennium, the Internet is becoming more than just a huge information resource, it is increasingly being developed to carry out business transactions - already we can shop for groceries, find a mortgage and send bouquets on line. British Energy's award-winning website was launched in the European Parliament in April, just two months after a London-based design company had accepted a tight audience-led specification that included clarity of design, promotion of the British Energy brand and, most importantly, ease of navigation. British Energy had identified its key objectives. Number one was the promotion of British Energy the brand in relation to its better-known subsidiary companies, Nuclear Electric and Scottish Nuclear. As the Internet is a truly global medium, accessible 24-hours a day, it was recognised that it could be particularly important in reaching potential partners and customers. British Energy certainly made clear its global aspirations from the outset and therefore it was important that visitors to the site understood what the company was and from whence it came. The audience-led strategy is delivering quality information to the people British Energy are most keen to communicate with. The sharetracking feature, news desk and narrated video tour of Sizewell B, the Pressurised Water Reactor, are amongst the most popular aspects. In December, British Energy won the 'Best Annual Report' on the Internet award
There are two components of cardiac CT discussed in this article: coronary artery calcium scoring (CACS) and coronary computed tomography angiography (CCTA).The distinctive advantages of each CT examination are outlined. In order to ensure a successful cardiac CT program, it is imperative that imaging facilities market their cardiac CT practices effectively in order to gain a competitive advantage in this valuable market share. If patients receive quality care by competent individuals, they are more likely to recommend the facility's cardiac CT program. Satisfied patients will also be more willing to come back for any further testing.
Grace Sherry L
Full Text Available Abstract Background In 2006, the Canadian Cardiovascular Society (CCS Access to Care Working Group recommended a 30-day wait time benchmark for cardiac rehabilitation (CR. The objectives of the current study were to: (1 describe cardiac patient perceptions of actual and ideal CR wait times, (2 describe and compare cardiac specialist and CR program perceptions of wait times, as well as whether the recommendations are appropriate and feasible, and (3 investigate actual wait times and factors that CR programs perceive to affect these wait times. Methods Postal and online surveys to assess perceptions of CR wait times were administered to CR enrollees at intake into 1 of 8 programs, all CCS member cardiac specialists treating patients indicated for CR, and all CR programs listed in Canadian directories. Actual wait times were ascertained from the Canadian Cardiac Rehabilitation Registry. The design was cross-sectional. Responses were described and compared. Results Responses were received from 163 CR enrollees, 71 cardiac specialists (9.3% response rate, and 92 CR programs (61.7% response rate. Patients reported that their wait time from hospital discharge to CR initiation was 65.6 ± 88.4 days (median, 42 days, while their ideal median wait time was 28 days. Most patients (91.5% considered their wait to be acceptable, but ideal wait times varied significantly by the type of cardiac indication for CR. There were significant differences between specialist and program perceptions of the appropriate number of days to wait by most indications, with CR programs perceiving shorter waits as appropriate (p Conclusions Wait times following access to cardiac rehabilitation are prolonged compared with consensus recommendations, and yet are generally acceptable to most patients. Wait times following percutaneous coronary intervention in particular may need to be shortened. Future research is required to provide an evidence base for wait time
The thesis investigates various perceptions of civil society among civic activists in Turkey, and how these perceptions are produced and shaped. The thesis is an anthropological contribution to studies of civil society in general, as well as to studies on political culture in Turkey....
Clark, Ed; Michailova, Snejina
The contributors to this text discuss the personal and professional challenges of conducting fieldwork in the difficult, sometimes threatening contexts of the transforming societies of post-socialist Europe and China.......The contributors to this text discuss the personal and professional challenges of conducting fieldwork in the difficult, sometimes threatening contexts of the transforming societies of post-socialist Europe and China....
An illustration of how important the relationship is between civil society anbd governance. A short historic journey with four snapshots of times and situations that have provided interesting evidence about the connection between civil society and governance. My goal for the short historic journe...... is to make clear and hopefully even verify that providing knowledge about the impact of civil society and citizens’ participation on governance is one of the most urgent research tasks in the current period of time.......An illustration of how important the relationship is between civil society anbd governance. A short historic journey with four snapshots of times and situations that have provided interesting evidence about the connection between civil society and governance. My goal for the short historic journey...
Ashley, Sean Matthew
Academics frequently serve as expert witnesses in legal cases, yet their role as transmitters of social scientific knowledge remains under-examined. The present study analyzes the deployment of social science within British Columbia's polygamy reference trial where research is used to support the assertion that polygamy is inherently harmful to society. Within the trial record and the written decision, the protection of monogamy as an institution is performed in part through the marginalization of qualitative methodology and the concurrent privileging of quantitative studies that purportedly demonstrate widespread social harms associated with the practice of polygyny.
This paper sheds new light on the British lady traveller Isabella Bird’s (1831-1904) trips to East Asia. Bird visited Japan in 1878. Subsequently she came to Korea, China and far eastern Russia in the mid-1890s. It is argued that her publications provide a unique perspective on globalization in the late nineteenth century. Bird observed how the East Asian societies were subject to major transformations as a consequence of their integration into the system of global capitalism. Contrary to oth...
Berch, Shannon M; Bonito, Gregory
To improve baseline data for the developing truffle industry in British Columbia, we compiled existing Tuber species sequences from published and unpublished studies and generated new ITS sequences for truffles belonging to Tuber collected in the province. In doing so, we obtained evidence that 13 species of Tuber occur in the province, including six introduced and seven native species, two of which are putative undescribed species. Of the native species, the Tuber anniae species complex is widely distributed in the province while Tuber beyerlei appears to be much more restricted in distribution. Four of the introduced species have commercial value (Tuber melanosporum, Tuber aestivum, Tuber brumale, and Tuber borchii) as do two of the native species (Tuber gibbosum and Tuber oregonense). Focused sampling on likely tree hosts, both hardwood and Pinaceae species, as well as in currently unexplored parts of the province seems likely to expand our knowledge of the diversity and distribution of Tuber species in British Columbia. PMID:27083929
Bateman, M. D.
Coversand deposits, thought to be of Lateglacial age are found in Britain in North Lincolnshire, South-West Lancashire and Central East Anglia. A comprehensive dating study of them, using thermoluminescence (TL) techniques, is currently underway in an attempt to link the British coversand deposits to the European coversand chronology. Initial results from four of the British coversand sites sampled are presented. The 26 TL dates from 14 samples show that in Lincolnshire aeolian deposition took place from 12.5 ka to I1 ka. Cessation of the initial sand deposition was synchronous with this in Lancashire, but sand deposition occurred significantly earlier in East Anglia. The upper layers of aeolian sand in Lancashire are much younger and are attributed to Holocene reworking. On the basis of these dates, Lincolnshire and Lancashire coversand deposition occurred at a similar time to the Younger Coversand II, whilst East Anglian coversand deposition coincided with the Younger Coversand I phase in the European coversand chronology.
Parliamentary parties in the British House of Commons tend to experience high levels of voting unity with individual MPs only occasionally dissenting from party policy. Although constituency influence has been used extensively to predict legislative behaviour in candidate-centred electoral environments, it is argued here that constituency preferences can, under certain circumstances, shape parliamentary behaviour in a strong-party, weak personal-vote, electoral environment such as the United ...
English is used as one of the most important languages in the world. As a result of the military, economic, scientific, political, and cultural influence, English has been used in many parts of the world, and the most prominent language in international business and science. It is used extensively as a second language and as an oflacial language in Commonwealth countries and many international organizations, and developed to many forms. This paper compares the differences between the British English and American English.
<正>The 4th Sino-British Local Government Seminar jointly sponsored by the CPAFFC, the China International Friendship Cities Association, the China-EU Association and the Local Government International Bureau of the UK (LGIB) was held in Beijing on June 29, 2004. He Luli, vice-chairperson of the Standing Committee of the National People’s Congress, attended the seminar and delivered a speech. CPAFFC President Chen Haosu made a keynote speech. Ken Bodfish,
The paper is a brief outline of the first stage of a comparative research project in the role and adequacy of care credits in the British and German pension systems. The provision of care credits has been an essential part of pension reforms around Europe, which significantly changes the prospects of carers to accumulate adequate pension contributions through their life course. But although the policy significance of care credits is due to rise in line with an increasing demand...
GODOVANNAYA E; FLEGONTOVA A
The article investigates dystopian fiction in British and American literature as exemplified in the books ‘Brave New world’ by Aldous Huxley and ‘451 Fahrenheit’ by Ray Bradbury. It draws the reader’s attention to the authors’ anxious attitude towards the portrayed events which can be considered to be a warning to future generations. The research mainly concentrates on common features of dystopian novels in both cultures.
Colli Franzone, Piero; Scacchi, Simone
This book covers the main mathematical and numerical models in computational electrocardiology, ranging from microscopic membrane models of cardiac ionic channels to macroscopic bidomain, monodomain, eikonal models and cardiac source representations. These advanced multiscale and nonlinear models describe the cardiac bioelectrical activity from the cell level to the body surface and are employed in both the direct and inverse problems of electrocardiology. The book also covers advanced numerical techniques needed to efficiently carry out large-scale cardiac simulations, including time and space discretizations, decoupling and operator splitting techniques, parallel finite element solvers. These techniques are employed in 3D cardiac simulations illustrating the excitation mechanisms, the anisotropic effects on excitation and repolarization wavefronts, the morphology of electrograms in normal and pathological tissue and some reentry phenomena. The overall aim of the book is to present rigorously the mathematica...
This book offers readers a comprehensive biomaterials-based approach to achieving clinically successful, functionally integrated vasculogenesis and myogenesis in the heart. Coverage is multidisciplinary, including the role of extracellular matrices in cardiac development, whole-heart tissue engineering, imaging the mechanisms and effects of biomaterial-based cardiac regeneration, and autologous bioengineered heart valves. Bringing current knowledge together into a single volume, this book provides a compendium to students and new researchers in the field and constitutes a platform to allow for future developments and collaborative approaches in biomaterials-based regenerative medicine, even beyond cardiac applications. This book also: Provides a valuable overview of the engineering of biomaterials for cardiac regeneration, including coverage of combined biomaterials and stem cells, as well as extracellular matrices Presents readers with multidisciplinary coverage of biomaterials for cardiac repair, including ...
R. M. W. Musson
Full Text Available This paper reviews the history of the study of historical British earthquakes. The publication of compendia of British earthquakes goes back as early as the late 16th Century. A boost to the study of earthquakes in Britain was given in the mid 18th Century as a result of two events occurring in London in 1750 (analogous to the general increase in earthquakes in Europe five years later after the 1755 Lisbon earthquake. The 19th Century saw a number of significant studies, culminating in the work of Davison, whose book-length catalogue was published finally in 1924. After that appears a gap, until interest in the subject was renewed in the mid 1970s. The expansion of the U.K. nuclear programme in the 1980s led to a series of large-scale investigations of historical British earthquakes, all based almost completely on primary historical data and conducted to high standards. The catalogue published by BGS in 1994 is a synthesis of these studies, and presents a parametric catalogue in which historical earthquakes are assessed from intensity data points based on primary source material. Since 1994, revisions to parameters have been minor and new events discovered have been restricted to a few small events.
In 1990, Britain reorganised its electricity industry to run on competitive lines. The British reforms are widely regarded as successful and the model used provides the basis for reforms of electricity industries worldwide. The main reason for this perception of success is major reductions in the real price of electricity with no reduction in service quality. This paper examines whether the reputation of the British reforms is justified. It concludes that the reputation is not justified and that serious fundamental problems are beginning to emerge. The central question is: have the British reforms resulted in the creation of efficient wholesale and retail markets? On this criterion, the reforms have failed. The wholesale market is dominated by obscure long-term contracts, privileged access to the market and self-dealing within integrated generator/retailers, leaving the spot markets with minimal liquidity and unreliable prices. The failure to develop an efficient wholesale market places the onus on consumers to impose competitive forces on electricity companies by switching regularly. Small consumers will not do this and they are paying too much for their power. For the future, there is a serious risk that the electricity industry will become a weakly regulated oligopoly with a veneer of competition
The core market for natural gas in British Columbia is defined as all natural gas consumers in the residential, institutional, commercial, and industrial sectors not currently purchasing natural gas directly and not exempted from the core market by the British Columbia Utilities Commission (BCUC). The intent of the definition is to include all customers who must be protected by contracts which ensure long-term security of supply and stable prices. Core market customers are excluded from direct natural gas purchase and will be served by distribution utilities. A customer may apply to BCUC to leave the core market; such an application may be approved if it is demonstrated that the customer has adequate long-term natural gas supplies or alternative fuel supplies to protect him from supply interruptions. The non-core market is defined as all large industrial customers who elect to make their own natural gas supply arrangements and who can demonstrate to the BCUC sufficient long-term natural gas supply protection or alternative fuel capability to ensure security of the industry. Non-core market customers have full and open access to the competitive natural gas market. The British Columbia government will not apply its core market policy to other jurisdictions through Energy Removal Certificates
Climate, and human responses to it, have a strongly interconnected relationship. This when climate change occurs, the result of either natural or human causes, societies should react and adapt to these. But do they? If so, what is the nature of that change, and are the responses positive...... or negative for the long-term survival of social groups? In this volume, scholars from diverse disciplines including archaeology, geology and climate sciences explore scientific and material evidence for climate changes in the past, their causes, their effects on ancient societies and how those societies...
Models that explain the economical and political realities of nowadays societies should help all the world's citizens. Yet, the last four years showed that the current models are missing. Here we develop a dynamical society-deciders model showing that the long lasting economical stress can be solved when increasing fairness in nations. fairness is computed for each nation using indicators from economy and politics. Rather than austerity versus spending, the dynamical model suggests that solving crises in western societies is possible with regulations that reduce the stability of the deciders, while shifting wealth in the direction of the people. This shall increase the dynamics among socio-economic classes, further increasing fairness.
Duff, Alistair S
We are often told that we are ""living in an information society"" or that we are ""information workers."" But what exactly do these claims mean, and how might they be verified? In this important methodological study, Alistair S. Duff cuts through the rhetoric to get to the bottom of the ""information society thesis."" Wide-ranging in coverage, this study will be of interest to scholars in information science, communication and media studies and social theory. It is a key text for the newly-unified specialism of information society studies, and an indispensable guide to the future of this disc
Pang, Alex Soojung-Kim
Scientific expeditions have played an important role in the development of Western Science, but have received far less attention than theory-making or experiment. This is a cultural and social history of British solar eclipse expeditions and observing practices. An introductory chapter outlines the historiography of scientific practice, imperialism and science, and scientific expeditions, and explains the importance of solar eclipses to nineteenth-century science. The chapters follow expeditions from their planning, through their execution, and into the publication of results. Chapter 2 is an institutional and social history of British and American eclipse planning. British expeditions were organized by national societies, while American expeditions were planned by individual observatories and colleges. Chapters 3 and 4 move into the field. They show how the evolution of tourist culture, the expansion of imperial spheres of political control, the transfer of Western technological systems to colonial territories shaped the experience of going on an expedition, and even made accurate astrophysical observation possible. They also examine the roles women played on eclipse expeditions. Chapters 5 and 6 examine spectroscopic and visual observation. They study the effects of intellectual shifts, the introduction of photography, and the scaling up of instruments on observing practices. Chapter 6 shows how visual and photographic observations of the solar corona were made. Chapter 7 follows those pictures out of the field, and examines how they were copied and shared with other astronomers.
Abdul Haqq Baker
Full Text Available The recent landmark election results in 2010 witnessed the end of an era for Labour under Gordon Brown and the herald of a new political landscape with the Coalition government of the Conservatives and Liberal Democrats. The challenges for the new coalition are no less daunting than they were under the former government. The need to examine aspects of British identity from political and cultural perspectives has never been more poignant, especially in the face of continuing threats from domestic and international extremism – both far right and religious. The defeat of the BNP in Dagenham last year, resulting in all of its twelve councilors failing to be reelected can be considered a positive outcome for British politics so far as right wing extremism is concerned. The increase in Muslim MPs is also considered by many as another positive for British politics. While these apparent achievements may reflect the more appealing façade of the political climate, a redefining of who and what represents Muslim identity in 21st century Britain is necessary in view of the increasing misunderstanding and rictus gap between wider non-Muslim society and Muslim communities.
The TV advertisement which launched the privatisation of British Energy in the summer of 1996 - but just how successful has that privatisation been? And who has benefited - shareholders? The nuclear industry? Our own workforce? Last year, as reported to PIME 97 that the privatisation itself had been successfully completed - following the restructuring of the UK nuclear generation industry, and the creation of British Energy, a new name in the UK - and world energy scene. In simple terms, that privatisation has certainly succeeded - our share price since privatisation has more than doubled, from 2 pounds to well over 4 ponds. Over the last year, it has consistently outperformed the UK electricity sector - particularly over the last winter; it has also out-performed the FR Share Index over the same period, and in December British Energy became one of the UK top 100 listed companies, included in the FTSE 100 having started life at around number 130. This in turn has meant that a number of high quality institutions have taken a second look at British Energy and begun to invest in us as part of a portfolio of FTSE 100 companies. Our success as a private sector company could only be built on the solid foundation of successes as a nuclear utility. Over the five years from 1992 to 1997, our output went up by 64 as Sizewell B came on line and the AGRs achieved their design load factors at last. Safety remains our top priority, and while our profitability increased, so did our safety ratings - accident frequency rates came down by 60%, and collective radiation exposure to our workforce came down 58%. As a result of all this achievement, coupled with reduction in our total workforce, our productivity went up by over 100% - surely proof that nuclear can succeed in a competitive, deregulated electricity market. For future, it has been even more important to sustain that initial success to grow and develop British Energy as a company. The results are there for all to see. In the
... Advertisements NAMS in the News Press Room Assistance Society Overview Top 10 reasons why NAMS is your ... fully updated and referenced 5th edition of the Society’s leading professional resource, featuring the latest comprehensive clinical ...
... Join the Community Stay Informed Corporate Support National Multiple Sclerosis Society Our Mission: People affected by MS can ... 10.5 Million in New Research to Stop Multiple Sclerosis, Restore Function and End MS Forever October 11, ...
Malmös Rooseumi Kaasaegse Kunsti Keskuses näitus "Baltic Babel". Projekt koosneb Läänemeremaade linnades tegutsevate innovatiivsete gruppide aktsioonidest. Kuraator Charles Esche. Esinejatest (Eestist Valie Export Society: Kadi Estland, Killu Sukmit)
Fifty years after the founding of the field of medical anthropology, the Society for Medical Anthropology of the American Anthropological Association held its first independent meeting on September 24-27, 2009, at Yale University.
Valie EXPORT Society asutasid 23. okt. 1999. a. Frankfurdis Kadi Estland, Killu Sukmit ja Mari Laanemets, kui olid külastanud austria naiskunstniku Valie Exporti näitust. Rühmituse aktsioonide kirjeldus
... December 1 – 3, 2016. This year’s course includes didactic lectures by outstanding surgeons and educators who are ... held in high esteem by other medical societies. Education Evidence-Based Medicine article published in OBG Mangement ...
... International Welcome to PENS The Pediatric Endocrinology Nursing Society (PENS) is committed to the development and advancement of nurses in the art and science of pediatric endocrinology nursing. Learn More ...
... join the conversation today. Learn More The American Society of Nephrology (ASN) leads the fight against kidney diseases by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care ...
Jensen, Niklas Thode
of this development was the establishment of the Tranquebarian Society, the third learned society east of the Cape of Good Hope. The article examines the unique assemblage of scientific networks, people, instruments, institutions, and ideas of local and global origin that converged in Tranquebar, and it investigates...... the fusion of local problems and radical ideas of enlightenment, education, and improvement that united government, mission, and merchants in Tranquebar in the quest for ‘useful knowledge’....
Zherebin, V. M.; Ermakova, N. A.; Makhrova, O. N.
The current state of the economy in the developed countries make it possible to characterize them using concepts and terms such as the postindustrial society, the new economy, the service economy, the creative economy, the posteconomic society, the information society, the knowledge society, and the consumer society. Among these terms and…
This essay is a context statement in critical defence of my submission for the degree of Ph.D by Published Works in keeping with the requirements of MIddlesex University as laid down in the Guidance Notes dated April 1996. The underlying theme of the submission is that my published works serve to illustrate my belief that it is imperative to locate British Jewish history within the broader framework of British history. Thus, I have not limited my research and writing to one issue, event or se...
This special issue of Journal of the Atomic Energy Society of Japan deals with the relation between nuclear technology and society, and is composed of four papers: (1) Nuclear energy and international politics - sociotechnics around plutonium utilization; (2) Risk recognition and benefit recognition of nuclear facilities and social acceptance; (3) Environmental risk management and radioactive waste problem; and, (4) Public administration around the relation between nuclear energy and society. (1) describes the historical development of nuclear energy since its birth, focusing on how the leading countries tried to control nuclear proliferation. Peaceful utilization of nuclear energy is closely connected with the Non-proliferation problem. (1) also discusses the relation of plutonium utilization of Japan with international society. (2) discusses how nuclear facilities can be accepted by society, analyzing the background of risk recognition, in particular, of psychological character of mass society. (3) introduces an new approach (risk-based or risk-informed regulation) of environmental risk management for radioactive waste disposal problem, focusing on HLW (high-level waste). (4) explains the approach from public administration to nuclear energy and general energy policy and introduces PPA (participatory policy analysis) as a means for policy making. (M.M.)
Barth, Andreas S.; Tomaselli, Gordon F.
Sudden cardiac death remains a leading cause of mortality in the Western world, accounting for up to 20% of all deaths in the U.S.1, 2 The major causes of sudden cardiac death in adults age 35 and older are coronary artery disease (70–80%) and dilated cardiomyopathy (10–15%).3 At the molecular level, a wide variety of mechanisms contribute to arrhythmias that cause sudden cardiac death, ranging from genetic predisposition (rare mutations and common polymorphisms in ion channels and structural...
Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;
OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....
Kelly, Morgan; Mokyr, Joel; Ó Gráda, Cormac
Many explanations have been offered for the British Industrial Revolution. This article points to the importance of human capital (broadly defined) and the quality of the British labor force on the eve of the Industrial Revolution. It shows that in terms of both physical quality and mechanical skills, British workers around 1750 were at a much higher level than their continental counterparts. As a result, new inventions—no matter where they originated—were adopted earlier, faster, and on a la...
Du Rand, I A; Barber, P V; Goldring, J; Lewis, R A; Mandal, S; Munavvar, M; Rintoul, R C; Shah, P L; Singh, S; Slade, M G; Woolley, A
This new guideline covers the rapidly advancing field of interventional bronchoscopy using flexible bronchoscopy. It includes the use of more complex diagnostic procedures such as endobronchial ultrasound, interventions for the relief of central airway obstruction due to malignancy and the recent development of endobronchial therapies for chronic obstructive pulmonary disease and asthma. The guideline aims to help all those who undertake flexible bronchoscopy to understand more about this important area. It also aims to inform respiratory physicians and other specialists dealing with lung cancer of the procedures possible in the management and palliation of central airway obstruction. The guideline covers transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration, electrocautery/diathermy, argon plasma coagulation and thermal laser, cryotherapy, cryoextraction, photodynamic therapy, brachytherapy, tracheobronchial stenting, electromagnetic navigation bronchoscopy, endobronchial valves for emphysema and bronchial thermoplasty for asthma.
De Dombal, F T; Price, A. B.; Thompson, H; Williams, G. T.; Morgan, A G; Softley, A; Clamp, S E; Unwin, B J
This presentation describes interim findings in a series of 319 patients referred from 41 hospitals on the basis of histopathological findings of 'early gastric cancer', 'dysplasia', or 'worrying mucosal appearances'. Data were recorded using a predefined proforma, and histopathological material circulated amongst a 'panel' of three further pathologists. After this process, 132 patients were classified as having early gastric cancer and 63 as dysplasia. There was good agreement between pathol...
Ashbee, H. Ruth; Barnes, Rosemary A.; Johnson, Elizabeth M.; Richardson, Malcolm D.; Gorton, Rebecca; Hope, William W.
The burden of human disease related to medically important fungal pathogens is substantial. An improved understanding of antifungal pharmacology and antifungal pharmacokinetics–pharmacodynamics has resulted in therapeutic drug monitoring (TDM) becoming a valuable adjunct to the routine administration of some antifungal agents. TDM may increase the probability of a successful outcome, prevent drug-related toxicity and potentially prevent the emergence of antifungal drug resistance. Much of the...
This paper presents the findings from a comparative qualitative study of British Indian and British Pakistani gay men, all of whom self-identified as members of their religious communities. Data were analysed using thematic analysis and identity process theory. Results suggest that the intersection between sexuality and religion is more relevant to British Pakistani participants, while the intersection between sexuality and ethnicity is more relevant to British Indian participants. For British Indian participants in particular, homosexuality seems to be socially problematic, posing potential obstacles for interpersonal and intergroup relations. Conversely, for British Pakistanis, homosexuality is both socially and psychologically problematic, affecting intrapsychic as well as interpersonal levels of human interdependence. Theoretical and practical implications are discussed. PMID:22651130
... to assess cardiac risk include: High-sensitivity C-reactive protein (hs-CRP) : Studies have shown that measuring ... LDL-C but does not respond to typical strategies to lower LDL-C such as diet, exercise, ...
... Heart Risk Factors & Prevention Heart Diseases & Disorders Atrial Fibrillation (AFib) Sudden Cardiac Arrest (SCA) SCA: Who's At Risk? Prevention of SCA What Causes SCA? SCA Awareness Atrial Flutter Heart Block Heart Failure Sick Sinus Syndrome Substances & Heart Rhythm Disorders Symptoms & ...
Meillier, Lucette Kirsten; Nielsen, Kirsten Melgaard; Larsen, Finn Breinholt;
to a standard rehabilitation programme (SRP). If patients were identified as socially vulnerable, they were offered an extended version of the rehabilitation programme (ERP). Excluded patients were offered home visits by a cardiac nurse. Concordance principles were used in the individualised programme elements......%. Patients were equally distributed to the SRP and the ERP. No inequality was found in attendance and adherence among referred patients. Conclusions: It seems possible to overcome unequal referral, attendance, and adherence in cardiac rehabilitation by organisation of systematic screening and social......Aim: The comprehensive cardiac rehabilitation (CR) programme after myocardial infarction (MI) improves quality of life and results in reduced cardiac mortality and recurrence of MI. Hospitals worldwide face problems with low participation rates in rehabilitation programmes. Inequality...
The Queen's Birthday Honours list announced on 16 June contained some familiar names from astronomy. Prof. Mark Bailey (1) of Armagh Observatory, currently a Vice-President of the RAS, was awarded an MBE and Dr Heather Couper (2), former President of the British Astronomical Association, a CBE. Prof. Nigel Mason (3) of the Open University and inaugural Director of the Milton Keynes Science Festival received an OBE. Prof. Jocelyn Bell-Burnell (4), President of the RAS from 2002-2004, was awarded a DBE - and an Honorary Doctorate from Harvard University. In addition, Prof. Lord Rees (5), Astronomer Royal, president of the Royal Society and President of the RAS from 1992-1994, was appointed to the Order of Merit.
Basri Lenjani; Besnik Elshani; Nehat Baftiu; Kelmend Pallaska; Kadir Hyseni; Njazi Gashi; Nexhbedin Karemani; Ilaz Bunjaku; Taxhidin Zaimi; Arianit Jakupi
Objective:To investigate application of cardiopulmonary resuscitation(CPR) measures within the golden minutes inEurope.Methods:The material was taken from theUniversityClinical Center ofKosovo -EmergencyCentre inPristina, during the two(2) year period(2010-2011).The collected date belong to the patients with cardiac arrest have been recorded in the patients' log book protocol at the emergency clinic.Results:During the2010 to2011 in the emergency center of theCUCK inPristina have been treated a total of269 patients with cardiac arrest, of whom159 or59.1% have been treated in2010, and110 patients or40.9% in2011.Of the269 patients treated in the emergency centre,93 or34.6% have exited lethally in the emergency centre, and176 or 65.4% have been transferred to other clinics.In the total number of patients with cardiac arrest, males have dominated with186 cases, or69.1%.The average age of patients included in the survey was56.7 year oldSD±16.0 years.Of the269 patients with cardiac arrest, defibrillation has been applied for93 or34.6% of patients.In the outpatient settings defibrillation has been applied for3 or3.2% of patients.Patients were defibrillated with application of one to four shocks. Of27 cases with who have survived cardiac arrest, none of them have suffered cardiac arrest at home,3 or11.1% of them have suffered cardiac arrest on the street, and24 or88.9% of them have suffered cardiac arrest in the hospital.5 out of27 patients survived have ended with neurological impairment.Cardiac arrest cases were present during all days of the week, but frequently most reported cases have been onMonday with32.0% of cases, and onFriday with24.5% of cases. Conclusions:All survivors from cardiac arrest have received appropriate medical assistance within10 min from attack, which implies that if cardiac arrest occurs near an institution health care(with an opportunity to provide the emergent health care) the rate of survival is higher.
Cardiac surgery represents a sub-group of patients at significantly increased risk of intraoperative awareness. Relatively few recent publications have targeted the topic of awareness in this group. The aim of this review is to identify areas of awareness research that may equally be extrapolated to cardiac anesthesia in the attempt to increase understanding of the nature and significance of this scenario and how to reduce it.
Karoff, Marthin; Held, Klaus; Bjarnason-Wehrens, Birna
The purpose of this review is to give an overview of the rehabilitation measures provided for cardiac patients in Germany and to outline its legal basis and outcomes. In Germany the cardiac rehabilitation system is different from rehabilitation measures in other European countries. Cardiac rehabilitation in Germany since 1885 is based on specific laws and the regulations of insurance providers. Cardiac rehabilitation has predominantly been offered as an inpatient service, but has recently been complemented by outpatient services. A general agreement on the different indications for offering these two services has yet to be reached. Cardiac rehabilitation is mainly offered after an acute cardiac event and bypass surgery. It is also indicated in severe heart failure and special cases of percutaneous coronary intervention. Most patients are men (>65%) and the age at which events occur is increasing. The benefits obtained during the 3-4 weeks after an acute event, and confirmed in numerous studies, are often later lost under 'usual care' conditions. Many attempts have been made by rehabilitation institutions to improve this deficit by providing intensive aftercare. One instrument set up to achieve this is the nationwide institution currently comprising more than 6000 heart groups with approximately 120000 outpatients. After coronary artery bypass grafting or acute coronary syndrome cardiac rehabilitation can usually be started within 10 days. The multidisciplinary rehabilitation team consists of cardiologists, psychologists, exercise therapists, social workers, nutritionists and nurses. The positive effects of cardiac rehabilitation are also important economically, for example, for the improvement of secondary prevention and vocational integration. PMID:17301623
Cardiac tumours in infancy are rare and are mostly benign with rhabdomyomas, fibromas and teratomas accounting for the majority. The presentation depends on size and location of the mass as they tend to cause cavity obstruction or arrhythmias. Most rhabdomyomas tend to regress spontaneously but fibromas and teratomas generally require surgical intervention for severe haemodynamic or arrhythmic complications. Other relatively rare cardiac tumours too are discussed along with an Indian perspect...
Ceviz, M; Becit, N; Kocak, H.
A 24 year old woman presented with chest pain and palpitation. The presence of a semisolid mass—an echinococcal cyst or tumour—in the left ventricular apex was diagnosed by echocardiography, computed tomography, and magnetic resonance imaging. The infected cyst was seen at surgery. The cyst was removed successfully by using cardiopulmonary bypass with cross clamp. Keywords: cardiac hydatid cyst; infected cardiac hydatid cyst
Full Text Available The article deals with revealing the peculiarities of language teachers’ professional training in the context of British experience. The notions of philology, linguistics, philologist, linguist, language studies have been outlined and specified in the article. The titles of the curricula and their meanings in reference to language training have been analyzed. The reasons for an abundance of university curricula for language training have been justified. The content of Subject Benchmark Statement on Languages, Cultures and Societies has been defined. It has been stated that such processes as enhancing social values in the society, promoting integration processes and forming positive experience in the synthesis of classical and innovative approaches to training as well as the changes in the functions of training characterize the professional training of language teachers in Great Britain. On the example of De Montfort University the peculiarities of language teachers’ professional training, in particular, ESL teachers, have been illustrated. It has been concluded that the methodological basis of future language teacher’s professional training at British universities consists of personality-based, competency-based, integrative and differentiated approaches and is characterized by the orientation of the training content to forming and developing students’ core professional competencies and rational combination of theoretical practical components.
In the first quarter of 2013 Ghana reported 7 cases of measles; Britain reported over 900 – the second highest in the EU. Ghana had a 100% vaccination rate; in Britain most reported cases were among 10- 16 year olds in areas where vaccination had fallen to 50%. Last month the British government said it would lobby the European Commission to relax the restrictions on GM food and crops. In 2012, 270 million ha of GM crops were grown in 28 countries; in the EU only 2 such crops have been license...
Kenneth O. MORGAN
Full Text Available The famous detective, Sherlock Holmes, once solved a case by referring to “the dog that did not bark.” In the past 250 years of British history, republicanism is another dog that did not bark. This is particularly true of supposedly our most radical major political party, the Labour Party. Over the monarchy, as over constitutional matters generally, Labour’s instincts have been conservative. Even after 1997, when the party, led by Lord Irvine, has indeed embarked upon major constitutional ref...
Kay, William K.
There are two main historical works on Assemblies of God in Britain. The first is Donald Gee's Wind and Flame (originally published under the title The Pentecostal Movement in 1941; later revised and enlarged for publication in 1967). Gee was intimately involved in much of AoG's development not only in the British Isles but also overseas, There are, however, three things which Donald Gee fails to do and which I decided to attempt in the history which follows. First, and very properly, Gee und...
Ambrosi, Christina M; Klimas, Aleksandra; Yu, Jinzhu; Entcheva, Emilia
In complex multicellular systems, such as the brain or the heart, the ability to selectively perturb and observe the response of individual components at the cellular level and with millisecond resolution in time, is essential for mechanistic understanding of function. Optogenetics uses genetic encoding of light sensitivity (by the expression of microbial opsins) to provide such capabilities for manipulation, recording, and control by light with cell specificity and high spatiotemporal resolution. As an optical approach, it is inherently scalable for remote and parallel interrogation of biological function at the tissue level; with implantable miniaturized devices, the technique is uniquely suitable for in vivo tracking of function, as illustrated by numerous applications in the brain. Its expansion into the cardiac area has been slow. Here, using examples from published research and original data, we focus on optogenetics applications to cardiac electrophysiology, specifically dealing with the ability to manipulate membrane voltage by light with implications for cardiac pacing, cardioversion, cell communication, and arrhythmia research, in general. We discuss gene and cell delivery methods of inscribing light sensitivity in cardiac tissue, functionality of the light-sensitive ion channels within different types of cardiac cells, utility in probing electrical coupling between different cell types, approaches and design solutions to all-optical electrophysiology by the combination of optogenetic sensors and actuators, and specific challenges in moving towards in vivo cardiac optogenetics.
The women's suffrage petition presented to the House of Commons in June 1866 is credited with being the first move in the British campaign. Yet although given a pivotal position in the women's movement, it and its organisation have received scant attention. This thesis examines the origins of this petition, which was organised by members of the Kensington Society (1865-1868). It investigates the members of this society, and those 1,499 women who signed the petition. This thesis looks ...
the organization strategizes about and seeks to articulate amongst Tanzanian youth. Situated in the ‘perverse confluence’ (Dagnino, 2011) between neoliberal and radical democratic agendas in the communicative practices of civil society-driven media platforms, Femina navigates between identities as an NGO, a social...... movement and a media initiative. In the context of the growing literature on social networking sites and their affordances, dynamics and structures, the case of Femina illustrates how a civil society sphericule emerges within the dynamic co-evolution of new and old media platforms. The study is furthermore...... an example of the difficult shift in civil society practice, from service provision to an agenda of public service monitoring, social accountability and community engagement....
Abbink, J.; Abbink, J.; Walraven, van K.; Bruijn, de M.E.
There has been a state of near-permanent revolt in Somali society since 1991. This chapter offers a cultural analysis of patterns of political and military activity from the precolonial era through the Italian and British colonial period, and State independence (1960-1991), to the present period of
Alani, A; Kelleher, M; Hemmings, K; Saunders, M; Hunter, M; Barclay, S; Ashley, M; Djemal, S; Bishop, K; Darbar, U; Briggs, P; Fearne, J
Cosmetic dentistry has become increasingly popular, largely as a result of social trends and increased media coverage. This understandable desire for the alleged 'perfect smile' needs to be tempered with an appropriate awareness of the significant risks associated with invasive cosmetic procedures such as veneers and crowns. Patients need to be properly informed that elective removal of healthy enamel and dentine can result in pulpal injury and poorer periodontal health in the longer term, particularly if they are young. The duty of candour means that they ought to be informed that aggressive reduction of sound tooth tissue is not biologically neutral and results in structural weakening of their teeth. Less invasive procedures such as bleaching on its own or for example, combined with direct resin composite bonding, can satisfy many patient's demands, while still being kinder to teeth and having much better fall-back positions for their future requirements. It is the opinion of the British Endodontic Society, British Society for Restorative Dentistry, Restorative Dentistry UK, Dental Trauma UK, British Society of Prosthodontics and the British Society of Paediatric Dentistry that elective invasive cosmetic dental treatments can result in great benefit to patients, but that some aggressive treatments used to achieve them can produce significant morbidities in teeth which were previously healthy. This is a worrying and growing problem with many ethical, legal and biologic aspects, but many adverse outcomes for patients who request cosmetic dental improvements are preventable by using biologically safer initial approaches to treatment planning and its provision. PMID:25952437
Mr. Randi will give an update of his lecture to the American Physical Society on the occasion of his award of the 1989 Forum Prize. The citation said: "for his unique defense of Science and the scientific method in many disciplines, including physics, against pseudoscience, frauds and charlatans. His use of scientific techniques has contributed to refuting suspicious and fraudulent claims of paranormal results. He has contributed significantly to public understanding of important issues where science and society interact". He is a professional magician and author of many books. He worked with John Maddox, the Editor of Nature to investigate the claims of "water with memory".
Evgeniy V. MIGUNOV
Full Text Available In this article the author attempts to study and analyze contemporary theories of the British scientists, related to South Sudan. The explored conceptions embrace different aspects of the process of its formation as independent state and include works on the following issues: development of legal basis for secession from parent state; formation and effective work of governmental institutions; settlement of internal social and political conflicts, especially interethnic collisions; assurance of internal political stability and security, including fight against corruption; elaboration of economic development strategy; support of local social and political structures, including NGOs; settlement of disputes and establishment of constructive relations with parent state before and after secession; exercising of pressure on the authorities of parent state and territory, claiming for independence, with a view of its secession from the parent state; interaction with third countries and international institutions; assurance of extensive international participation. The conducted analysis allows getting a basic idea about the actual progress of scientific debates on South Sudan in Britain, associate them with the British foreign policy in regard to this particular country and formulate strategy of the Western European states on assistance of new states formation.
Full Text Available The subjects of Owen Hatherley’s A Guide to the New Ruins of Great Britain are architecture and urban development. The book addresses also some broader cultural, political and economic references, as well as personal anecdotes and memories. It includes many encounters with the remnants of the British welfare state.As an extension to his blog postings and a sequel of sorts to his previous Militant Modernism, Hatherley’s antagonist here is the semi-official architecture of New Labour, which he terms ‘pseudomodernism’: an unimaginative, inferior, and, in its own specific way, also tacky architecture of white stucco, steel and glass. He attacks the Faustian bargain of Richard Rogers and his allies with neoliberalism, a pact that produces a modernism devoid of social content, reflected by the unimaginative, speculation-driven architectural design. While Hatherley produces the promised indictment of recent British architecture, the book is, at the end of the day, primarily a eulogy to the disappearing postwar architecture he so evidently loves.
Full Text Available We here present our experience with ventricular tachycardia (VT leading to cardiac arrest in a patient with American Society of Anesthesiologists grade-I (ASA-I 11 hours after cholecystectomy. Excessive fluid overload and hypoxemia due to lung congestion may lead to cardiac arrest in this case. Immediate diagnosis and appropriate intervention saved the life of the patient.
Full Text Available This article examines the exclusion of British Asians from English professional football. At present, there are eight British Asians with professional contracts out of over 4,000 players. This statistic is increasingly noteworthy when we consider that, first, football is extremely popular across British Asian groups and, second, Britain is home to over 4 million British Asians (the UK’s largest minority ethnic group. Following a brief introduction as well as a discussion of racisms, the work will provide an overview of the barriers that have excluded British Asian football communities from the professional ranks. In particular, I shall discuss some of the key obstacles including overt racism, ‘all-Asian’ football structures and cultural differences. However, the focus of this paper is to explore the impact and persist-ing nature of institutional racism within football. With the aid of oral testimonies, this work shall present British Asian experiences of covert racism in the game. I shall therefore demonstrate that coaches/scouts (as gatekeepers have a tendency to stereotype and racialize British Asian footballers, thus exacerbating the British Asian football exclusion. Finally, the article will offer policy recommendations for reform. These recommendations, which have come out of primary and secondary research, aspire to challenge institutional racism and combat inequalities within the game.
Rigbye, Jane; Griffiths, Mark D.
According to the latest British Gambling Prevalence Survey, there are approximately 300,000 adult problem gamblers in Great Britain. In January 2007, the "British Medical Association" published a report recommending that those experiencing gambling problems should receive treatment via the National Health Service (NHS). This study examines the…
Williams, Emyr W.; Romar, Jan-Erik; Hartman, Michael
Both British and Finnish baseball are easy to introduce, as the specific skills involved in both sports are identical to those used in traditional baseball. If students have the skills to play traditional baseball, they have the skills to play British and Finnish baseball as well. After a brief overview of the unique rules and strategies of these…
Smith, Heather Jane
The construct of Britishness, as with nationalism elsewhere in the world, although amorphous and permeable over time, continues to be used by politicians and the media as a powerful exclusionary force. Moreover in England, fundamental British values (FBV), its most recent and official incarnation, now hold particular currency in education policy…
Historians have frequently referred to the British Association for the Advancement of Science as an institution that had the professionalisation of British science as its chief aim. This article seeks to complicate this picture by asking what, if any, concept of "professionalisation" would have been understood by nineteenth-century…
We shall discuss some aspects of science and technology, their increasing role in the society, the fast advances in modern science, the apparent decrease of interest of the young generation in basic sciences, the importance of proper science popularization for better public education and awareness in scientific fields.
The abstracts of most of the papers read at the 53 National Congress of the Italian Society of Physics are presented. The Congress developed in ten sessions: high energy and elementary particle physics, physics of nuclei, condensed matter, quantum electronics, cosmic physics, geophysics, general physics, electronics and applied physics, health physics and hystory of physics. An author index is also included
This article presents a new interpretation of Marx's dialectical method. Marx conceived dialectics as a method for constructing a model of society. The way this model is developed is analogous to the way organisms develop according to the German embryologist Karl Ernst von Baer, and, indeed, Marx's
awareness of the important questions of our society reflected in scientific research and of the answers produced by these research activities. The CRIS2010 conference, entitled “Bringing Science to Society”, therefore seeks to highlight the role of Current Research Information Systems for communicating...
Cederman, L.-E.; Conte, R.; Helbing, D.; Nowak, A.; Schweitzer, F.; Vespignani, A.
A huge flow of quantitative social, demographic and behavioral data is becoming available that traces the activities and interactions of individuals, social patterns, transportation infrastructures and travel fluxes. This has caused, together with innovative computational techniques and methods for modeling social actions in hybrid (natural and artificial) societies, a qualitative change in the ways we model socio-technical systems. For the first time, society can be studied in a comprehensive fashion that addresses social and behavioral complexity. In other words we are in the position to envision the development of large data and computational cyber infrastructure defining an exploratory of society that provides quantitative anticipatory, explanatory and scenario analysis capabilities ranging from emerging infectious disease to conflict and crime surges. The goal of the exploratory of society is to provide the basic infrastructure embedding the framework of tools and knowledge needed for the design of forecast/anticipatory/crisis management approaches to socio technical systems, supporting future decision making procedures by accelerating the scientific cycle that goes from data generation to predictions.
Stanfield, John H., II
Maintains that sociology must reconceptualize the meaning of multiethnic societies and regions and also advance theories about how such social organizations came into being and transform themselves through conflicting and peaceful processes. Briefly reviews traditional approaches and outlines new areas of study. (MJP)
Westhall, Erik; Rossetti, Andrea O; van Rootselaar, Anne-Fleur;
OBJECTIVE: To identify reliable predictors of outcome in comatose patients after cardiac arrest using a single routine EEG and standardized interpretation according to the terminology proposed by the American Clinical Neurophysiology Society. METHODS: In this cohort study, 4 EEG specialists...... patients. EEGs were recorded in 103 patients at a median 77 hours after cardiac arrest; 37% had a highly malignant EEG and all had a poor outcome (specificity 100%, sensitivity 50%). Any malignant EEG feature had a low specificity to predict poor prognosis (48%) but if 2 malignant EEG features were present...
Auler Jr. José Otávio Costa
Full Text Available The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.
Donal P McCrachen
Full Text Available This article chronicles the developing relationship between the press corps on the British side and British Military Intelligence during the Anglo-Boer War, particularly during the formal and non-guerrilla phase of the conflict. The article comments on the nature and composition of both the press corps and of the military intelligence operation. In particular, the article looks at the problem issues relating to the relationship: licensing correspondents, censorship, monitoring journalists’ activities, as well as the successful attempt of the intelligence sector to bring the press into their campaign to spread pro-British propaganda. The role of the press in the saga of the attempt to make British Military Intelligence a scapegoat for British initial failures is also mentioned.
Beek, M.H. van; Oude Voshaar, R.C.; Deelen, F.M. van; Balkom, A.J. van; Pop, G.A.; Speckens, A.E.
OBJECTIVE: General anxiety symptoms are common in patients with cardiac disease and considered to have an adverse effect on cardiac prognosis. The role of specific cardiac anxiety, however, is still unknown. The aim of this study is to examine the factor structure, reliability, and validity of the D
van Beek, M. H. C. T.; Voshaar, R. C. Oude; van Deelen, F. M.; van Balkom, A. J. L. M.; Pop, G.; Speckens, A. E. M.
Objective: General anxiety symptoms are common in patients with cardiac disease and considered to have an adverse effect on cardiac prognosis. The role of specific cardiac anxiety, however, is still unknown. The aim of this study is to examine the factor structure, reliability, and validity of the D
Hart, Bradley W
Historians of the eugenics movement have long been ambivalent in their examination of the links between British hereditary researchers and Nazi Germany. While there is now a clear consensus that American eugenics provided significant material and ideological support for the Germans, the evidence remains less clear in the British case where comparatively few figures openly supported the Nazi regime and the left-wing critique of eugenics remained particularly strong. After the Second World War British eugenicists had to push back against the accusation that their science was intrinsically dictatorial or totalitarian and, as a result, many of their early perceptions of the Nazis were ignored or rationalised away. Further, historians in recent years have focused more directly on the social reformist elements of eugenics, discussing the links between hereditary science and the birth control and feminist movements in addition to others. While undoubtedly making valuable contributions to the scholarly understanding of the eugenic milieu in the interwar years, these studies have neglected to recontextualize the sentiments of British eugenicists who did indeed view the Nazi government positively in the early years of the 1930s. This article argues that there was a significant, though not numerically sizable, faction in the British eugenics movement, though mostly outside the Eugenics Society itself, in the early 1930s that viewed the Nazi Germany as an admirable state for its implementation of eugenic principles. One of these figures was later interned by his own government for being too closely aligned with the German regime, though he argued that this affinity was driven by the quest for scientific truth rather than politics. Eugenics in Britain thus contained a greater diversity of views toward Germany than scholars have previously assumed, warranting more research into the individuals and organizations harbouring these views.
American English(AmE)is the form of English used in the United States.It includes all English dialects used within the United States. British English(BrE)is.the form of English used in the United Kingdom. It includes all English dialects used within the United Kingdom. Language is a part of culture, and it plays an important role in culture. Language reflects the characteristic of a nation. It not only includes the history and cultural background of a nation, but also fosters the nation ’s attitudes towards life, and ways of living and thinking of the nation. Therefore, to my point of view, the cause of language differences is basically the differences between cultures.
Wessels, M E; Holmes, J P; Jeffrey, M; Jackson, M; Mackintosh, A; Kolodny, E H; Zeng, B J; Wang, C B; Scholes, S F E
GM2 gangliosidosis (Tay-Sachs disease) was diagnosed in 6- to 8-month-old pedigree Jacob lambs from two unrelated flocks presenting clinically with progressive neurological dysfunction of 10 day's to 8 week's duration. Clinical signs included hindlimb ataxia and weakness, recumbency and proprioceptive defects. Histopathological examination of the nervous system identified extensive neuronal cytoplasmic accumulation of material that stained with periodic acid--Schiff and Luxol fast blue. Electron microscopy identified membranous cytoplasmic bodies within the nervous system. Serum biochemistry detected a marked decrease in hexosaminidase A activity in the one lamb tested, when compared with the concentration in age matched controls and genetic analysis identified a mutation in the sheep hexa allele G444R consistent with Tay-Sachs disease in Jacob sheep in North America. The identification of Tay-Sachs disease in British Jacob sheep supports previous evidence that the mutation in North American Jacob sheep originated from imported UK stock. PMID:24309906
British Columbia's significant wave, tidal, ocean and river current resources will help to provide a clean, renewable energy source to meet the growing demand for electricity in local and North American markets. Various sites in the province are now being investigated for their energy development potential. A demonstration project located in the Race Rocks ecological reserve is producing electricity from tidal currents, while 3 other sites have received provincial funding in order to demonstrate new wave and tidal energy technologies off the coast of Vancouver Island. This guide provided an outline of the province's emerging ocean energy sector, and described the principal companies involved in developing ocean resources in the region. Details of new ocean energy projects were also provided. 1 tab., 7 figs.
British Columbia (BC) possesses significant wind energy resources, and many wind energy projects are currently in the planning phase or are already under construction. Wind power policies in the province have been designed to ensure the secure and orderly development of the wind power industry. Policies in the province include a 10-year exemption from participation rents for new projects as well as a policy that has established the maximum permissible noise levels for wind farms located near residential properties. BC's wind power development plan forms part of the province's aim to become electricity self-sufficient by 2016 while ensuring that clean or renewable energy generation accounts for at least 90 per cent of total generation. This guide provided an outline of the province's wind energy sector, and provided a listing of selected wind power operators. Details of new wind power projects were also presented. 11 fig.
Unger, Eric; Costic, Joseph; Laub, Glenn
We report the case of an asymptomatic giant cardiac cavernous hemangioma in a 71-year-old man. The intracardiac mass was discovered incidentally during surveillance for his prostate cancer; however, the patient initially declined intervention. On presentation to our institution 7 years later, the lesion had enlarged significantly, and the patient consented to excision. At surgery, an 8 × 6.5 × 4.8 cm intracardiac mass located on the inferior heart border was excised with an intact capsule through a median sternotomy approach. The patient had an uneventful postoperative course. We discuss the diagnostic workup, treatment, and characteristics of this rare cardiac tumor. PMID:26140782
JohnD.Bennett; NasserEnnih; S.FelixToteu
History and objectives,The ambitious and forward-looking decision to establish a pan-African geological society was taken during the course of a conference on African geology held in Ibadan, Nigeria in 1970. A Steering Committee was convened at that meeting under the Chairmanship of Professor Russell Black of the Department of Geology, Haile Selassie University, Addis Ababa, and the provisional constitution drafted by his Committee was approved at a second conference on African geology in Addis Ababa in 1973. Thus was the Geological Society of Africa (GSA.t) born. Its first President was Professor M O Owawoye (Nigeria) and Dr S M E1 Rabba (Sudan) became its first Secretary General.
Societal changes are seldom discussed in the literature on city branding. The time element is important because it highlights the fluctuating reality of society. The city brand message freezes the place but in fact, the city branding exercise is a continuous process. Society emerges too. City...... brands are supposed to accentuate the uniqueness of the city, be built from the bottom-up and reflect the city's identity. This paper highlights three paradoxes, pointing out that city branding processes can also make cities more alike, bring about societal changes and forge new city identities. A city...... branding campaign does not just present the city, it may change the city. The relationships between the branding exercise and the city are intertwined in the evolution of the place....
The Argentine Radiation Protection Society (SAR) is a non profit society, member of IRPA. It was originally launched in 1987 and a formal constitution was adopted in 1983. Presently, SAR has 220 active members, professionals and technicians dedicated to a variety of disciplines related to different radiation protection aspects: medicine, industry, research and teaching. The basic SAR objectives are: to promote research and knowledge exchange on radiation protection topics and related disciplines; to promote the comprehension of radiation protection criteria with regard to existence and handling of radioactive and fissile materials and any other radiation sources; to foster the conception of radiation protection as a professional discipline and to contribute to its permanent improvement; to promote the diffusion of the information related to all radiation protection and nuclear safety aspects, and radiation protection standards and recommendations, not only within the scientific, technical and academic areas, but also to general public
Jørgensen, Martin Bak
The paper takes a transnational perspective on developing an analytical framework for understanding how transnationalism interacts with civil society and how immigrant organisations use transnational strategies to challenge the pre-given positions of immigrants within given integration- and citiz......The paper takes a transnational perspective on developing an analytical framework for understanding how transnationalism interacts with civil society and how immigrant organisations use transnational strategies to challenge the pre-given positions of immigrants within given integration...... degree, what kind of groups and which types of aims are pursued via these channels and this type of engagement. The paper ends with some preliminary empirical findings of transnational engagement and organisation among Alevis and (Turkish) Assyrians in Denmark, Sweden, and Germany....
Conference of Vinton "Vint" Gray Cerf in the Intercontinental Hostel. Vinton Gray Cerf (born June 23, 1943) is an American computer scientist who is commonly referred to as one of the "founding fathers of the Internet" for his key technical and managerial role, together with Bob Kahn, in the creation of the Internet and the TCP/IP protocols which it uses. He was also a co-founder (in 1992) of the Internet Society (ISOC) which is intended to both promote the views of ordinary users of the Internet, and also serve as an umbrella body for the technical groups developing the Internet (such as the Internet Engineering Task Force). He served as the first president of the Internet Society from 1992-1995.
Ion Gh. Rosca; Dumitru Todoroi
Creativity is a result of brain activity which differentiates individuals and could ensure an important competitive advantage for persons, for companies, and for Society in general. Very innovative branches – like software industry, computer industry, car industry – consider creativity as the key of business success. Natural Intelligence Creativity can develop basic creative activities, but Artificial Intelligence Creativity, and, especially, Conscience Intelligence Creativity should be devel...
Full Text Available Society is the source of immense power. Over the past few centuries humanity has recorded phenomenal growth in its collective capacity for accomplishment, as reflected in the 12-fold growth in global per capita income since 1800. The remarkable achievements in living standards, longevity, science, technology, industry, education, democracy, human rights, peace and global governance are the result of the exponential development of the capacity of society to harness human energies and convert them into social power for productive purposes. Today, humanity possesses the power and capabilities needed to fully meet the multi-dimensional challenges confronting global society. The source of this energy is people. Human energy is transformed into social power by the increasing reach, frequency and complexity of human relationships. Society is a complex living network of organized relationships between people. Its power issues from channelizing our collective energies in productive ways by means of organizing principles such as coordination, systems, specialization of function, hierarchy of authority, and integration. This immense social power remains largely underutilized. Social science needs to evolve a comprehensive, trans-disciplinary understanding of the roots of social power and the process by which it is generated, distributed and applied. This knowledge is the essential foundation for formulating effective social policies capable of eradicating forever persistent poverty, unemployment and social inequality. This article is based on a series of lectures delivered by the author in the WAAS-WUC course on “Toward a Trans-disciplinary Science of Society” at Dubrovnik on September 1-3, 2014. It traces the development of social power in different fields to show that human and social capital are inexhaustible in potential. The more we harness them, the more they grow. Unleashing, directing, channeling and converting human potential into social
As an independent industry, the emergence of the classification society was perhaps the demand of beneficial interests between shipowners, cargo owners and insurers at the earliest time. Today, as an indispensable link of the international maritime industry, class role has changed fundamentally. Start off from the demand of the insurersSeaborne trade, transport and insurance industries began to emerge successively in the 17th century. The massive risk and benefit brought by seaborne transport provided a difficult problem to insurers.
MacFadden, Bruce J
Visitors to natural history museums have an incomplete understanding of evolution. Although they are relatively knowledgeable about fossils and geological time, they have a poor understanding of natural selection. Museums in the 21st century can effectively increase public understanding of evolution through interactive displays, novel content (e.g. genomics), engaging videos and cyberexhibits that communicate to a broad spectrum of society, both within the exhibit halls as well as outside the museum.
Multi-agent simulation was used to study several styles of leadership in small societies. Populations of 50 and100 agents inhabited a bounded landscape containing a fixed number of food sources. Agents moved about the landscape in search of food, mated, produced offspring, and died either of hunger or at a predetermined maximum age. Leadership models focused on the collection and redistribution of food. The simulations suggest that individual households were more effective at meeting their ne...
Aresti, N A; Malik, A A; Ihsan, K M; Aftab, S M E; Khan, W S
Pre-existing cardiac disease contributes significantly to morbidity and mortality amongst patients undergoing non cardiac surgery. Patients with pre-existing cardiac disease or with risk factors for it, have as much as a 3.9% risk of suffering a major perioperative cardiac event (Lee et al 1999, Devereaux 2005). Furthermore, the incidence of perioperative myocardial infarction (MI) is increased 10 to 50 fold in patients with previous coronary events (Jassal 2008).
Perloff, Joseph K
Dextrocardia was known in the 17th century and was 1 of the first congenital malformations of the heart to be recognized. Fifty years elapsed before Matthew Baillie published his account of complete transposition in a human of the thoracic and abdominal viscera to the opposite side from what is natural. In 1858, Thomas Peacock stated that "the heart may be congenitally misplaced in various ways, occupying either an unusual position within the thorax, or being situated external to that cavity." In 1915, Maude Abbott described ectopia cordis, and Richard Paltauf's remarkable illustrations distinguished the various types of dextrocardia. In 1928, the first useful classification of the cardiac malpositions was proposed, and in 1966, Elliott et al's radiologic classification set the stage for clinical recognition. The first section of this review deals with the 3 basic cardiac malpositions in the presence of bilateral asymmetry. The second section deals with cardiac malpositions in the presence of bilateral left-sidedness or right-sidedness. Previous publications on cardiac malpositions are replete with an arcane vocabulary that confounds rather than clarifies. Even if the terms themselves are understood, inherent complexity weighs against clarity. This review was designed as a guided tour of an unfamiliar subject.
Yasser; Mahrous; Fouad; Reem; Yehia
Understanding the mutual relationship between the liver and the heart is important for both hepatologists and cardiologists. Hepato-cardiac diseases can be classified into heart diseases affecting the liver, liver diseases affecting the heart, and conditions affecting the heart and the liver at the same time. Differential diagnoses of liver injury are extremely important in a cardiologist’s clinical practice calling for collaboration between cardiologists and hepatologists due to the many other diseases that can affect the liver and mimic haemodynamic injury. Acute and chronic heart failure may lead to acute ischemic hepatitis or chronic congestive hepatopathy. Treatment in these cases should be directed to the primary heart disease. In patients with advanced liver disease, cirrhotic cardiomyopathy may develop including hemodynamic changes, diastolic and systolic dysfunctions, reduced cardiac performance and electrophysiological abnormalities. Cardiac evaluation is important for patients with liver diseases especially before and after liver transplantation. Liver transplantation may lead to the improvement of all cardiac changes and the reversal of cirrhotic cardiomyopathy. There are systemic diseases that may affect both the liver and the heart concomitantly including congenital, metabolic and inflammatory diseases as well as alcoholism. This review highlights these hepatocardiac diseases
Pelletier, Jean-Sébastien; Dicken, Bryan; Bigam, David; Cheung, Po-Yin
Vasopressin is an essential hormone involved in the maintenance of cardiovascular homeostasis. It has been in use therapeutically for many decades, with an emphasis on its vasoconstrictive and antidiuretic properties. However, this hormone has a ubiquitous influence and has specific effects on the heart. Although difficult to separate from its powerful vascular effects in the clinical setting, a better understanding of vasopressin's direct cardiac effects could lead to its more effective clinical use for a variety of shock states by maximizing its therapeutic benefit. The cardiac-specific effects of vasopressin are complex and require further elucidation. Complicating our understanding include the various receptors and secondary messengers involved in vasopressin's effects, which may lead to various results based on differing doses and varying environmental conditions. Thus, there have been contradictory reports on vasopressin's action on the coronary vasculature and on its effect on inotropy. However, beneficial results have been found and warrant further study to expand the potential therapeutic role of vasopressin. This review outlines the effect of vasopressin on the coronary vasculature, cardiac contractility, and on hypertrophy and cardioprotection. These cardiac-specific effects of vasopressin represent an interesting area for further study for potentially important therapeutic benefits. PMID:24621650
Schmitt, Nicole; Grunnet, Morten; Olesen, Søren-Peter
About 10 distinct potassium channels in the heart are involved in shaping the action potential. Some of the K(+) channels are primarily responsible for early repolarization, whereas others drive late repolarization and still others are open throughout the cardiac cycle. Three main K(+) channels...
A review of chemical and radioisotope batteries used in cardiac pacemakers is presented. The battery systems are examined in terms of longevity, reliability, cost, size and shape, energy density, weight, internal resistance versus time, end-of-life voltage, chemical compatibility, and potential failure mechanisms
Isaias, Pedro; McPherson, Maggie
Despite some spectacular e-learning failures in recent years, e.g. the British government's "e University", educational technologies have continued developing and have made advances in several learning paradigms. These new learning paradigms appear as new ways to deal with the old traditional learning concepts and philosophies throughout the…
Full Text Available In all the thrill of the modern definitions of the social function of everyday life, we often forget about the basic human organizations that created the social cohesion which survived over the history during difficult times. A sort of memory aneurysm prevents us from rediscovering those communicational structures that created the real human community, which generated it free of any ideologies and fanaticisms, which raised it in the modern social network. The parish, humble social community based on the confession of the same faith and the stretching of a given geography, was mocked, eluded and informally deformed. It remains, though, one of the greatest miracles of the sociology of social organization, one of the communicational categories preserved, it seems, despite the evolution of virtual communication. It is enough to cross, for instance, the great highways of modern Europe, as well as the British area to see that the names of cities, thousands of them, are related to the Christian culture of the place. A certain saint or boards which attest the Christian past of the place, marking points of the spiritual amperage of the area, are lumps in an informal network that proves that the parish remains one of the sociological categories of communication that remains deeply implemented in the mentality of the modern man. Even if it lacks the same spiritual or cultural connotation, it remains the model of the open society, placed in the interval of the new models, destructured from the very moment of their hermeneutical assertion.
Khoo Kay Kim
Full Text Available This study attempts to explicate what happened to the Malays between the turn of the 20th century and the beginning of World War II. This is important to underscore the fact that, contrary to general impressions, Islam did not hold back the progress of the Malays, and that even before World War II, major changes were taking place in Malay society. Modernity in Malay society began to emerge even before World War I. Although the intrusion of British administration to a great extent contributed to socio-economic changes in many parts of the Malay Peninsula, the Muslim intelligentsia were indefatigably urging the Malays to be sensitive to their environment; and one way of keeping abreast of change was to expose themselves to modern education. Malay journalism, Malay literature and the frequent exchange of ideas in the Malay media were characteristics of Malay society beginning from the early 20th century. Politics then was not yet to the fore. As in other societies, there were also conservative elements within that placed obstacles in the way of those who tirelessly pursued change from tradition to modernity.
... Research Awards August 9, 2016 Media Advisory: American Society of Human Genetics 2016 Annual Meeting July 26, ... McKusick Leadership Award June 30, 2016 The American Society of Human Genetics, Incorporated 9650 Rockville Pike • Bethesda, ...
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This book brings together the communications presented at the colloquium 'risk and society' held in Paris (France) on November 1998. During this colloquium, the various aspects of risk and of its management were discussed by medical specialists, historians, industrialists, engineers, philosophers, lawyers, politicians and administration representatives. The first theme concerns the controversies generated by the development of some activities (genetics, bio-technologies, nuclear and radiations use). The second theme concerns the management of risks and the way to conciliate the point of view of authorities and citizens (confidence of the public with respect to experts, scientists, industrialists, government and administrative representatives, role played by the media). The debates that took place during the colloquium have shown that the public opinion concerning the nuclear activities or the new technologies greatly depends on the ideological attitudes and on the public's likes and dislikes with respect to some categories of actors (distrust with respect to public decisions, fears with respect to changes and future, nostalgia of the past). The following aspects are reviewed: Notions of risk and hazard (risk and health, risk in today's society, medicine and society, the point of view of the industrialists and of the scientific and technical specialists); from the psychological aspects of the risk to its social aspects (survey of the risk assessment battlefield, social attenuation and amplification of risk, the feeling of risks in Europe, insecurity and delinquency, controversies around radioactivity and health); the negotiation and communication about risks (risk and public health, negotiation around risks, risks and information dissemination about the public debate, communication and crisis, evolution of risk communication, comparison between American and European approaches, the Seveso directive); the public debate and the evolution of risks management (the
N.T. van der Merwe
Full Text Available The subject of my contribution to the Taljaard Festschrift is focused on a cardinal aspect of the contemporary discussion in the area of theory of science, namely the relationship between science and society', and in this connection especially the role ascribed by certain scholars to paradigms in the practice of science. Because of its bridge function, the first task will be a global getting acquainted with some characteristic accents in contemporary theory of science. If this is successful, it can hopefully open up avenues for a view of the relationship of the remaining two components of the above mentioned subject.
This article discusses the U.S. and European national strategies and policies for information society. Coping with the declining competitiveness in high-tech products and Japanese technological advantages both have been trying hard to strengthen technology base and to deregulate the telecommunications services markets. The U.S. approach in 1980's, unlike its liberalist principle, has been characterized by technological protectlonism and defense-oriented policies. European Communities' approach has been more comprehensive and systematic, investing heavily telecommunication infrastructure, deregulating domestic market, and promoting cooperation of member countries. However, both of these approaches have, so far, been unable to achieve a considerable success.
New technologies based on the exploitation of so-called "second order" quantum phenomena - such as quantum entanglement - deserve a public-friendly, rational, and sexy name. Spookytechnology is that unifying term. From historical and motivational perspectives, this name has greater value than the many variations of quantum this and quantum that presently used. As many already believe, the pursuit of spookytechnology has profound implications for the development of the physical and information sciences and ultimately for society at large. Spookytechnology will find its place in the increasingly dense line of major technological revolutions of our time: quantum, info, bio, nano, spooky.
Please submit your announcement to this Bulletin as early as possible! Several were received too late for interested readers to make use of. After the event please send a summary of the doings and/or the Proceedings, if any. Systematics and Biogeography of the Austral Biota, Canberra, Australia, August 1990. The ninth meeting of the Willi Hennig Society will take place in Canberra, Australia, 24-27 August 1990. The invited and contributed papers will be a mix of theory, methodology, and pract...
Full Text Available The indicator of information society describe the infrastructure of information and communication technology ; as well as it’s use and it’s production in different estate of society. The importance economic and social of tic is crescent in modern society. and the presentation of tendency inform above the situation of information society . in this article we want to describe the indicator of tic in Algeria according to librarian’s vision in Mentouri university
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Kirkham AA; Virani SA; Campbell KL
Amy A Kirkham,1 Sean A Virani,2 Kristin L Campbell1,31Rehabilitation Sciences, 2Department of Medicine, 3Department of Physical Therapy, University of British Columbia, Vancouver, BC, CanadaBackground: Heart function tests performed with myocardial stress, or “cardiac stress tests”, may be beneficial for detection of cardiovascular disease. Women who have been diagnosed with breast cancer are more likely to develop cardiovascular diseases than the general population, in part due t...
Amy A Kirkham,1 Sean A Virani,2 Kristin L Campbell1,31Rehabilitation Sciences, 2Department of Medicine, 3Department of Physical Therapy, University of British Columbia, Vancouver, BC, CanadaBackground: Heart function tests performed with myocardial stress, or “cardiac stress tests”, may be beneficial for detection of cardiovascular disease. Women who have been diagnosed with breast cancer are more likely to develop cardiovascular diseases than the general population, in pa...
U.S. Geological Survey, Department of the Interior — A seamless (bare earth and submerged) topography Digital Elevation Model (DEM) mosaic for a portion of the submerged environs of Anegada, British Virgin Islands,...
U.S. Geological Survey, Department of the Interior — A digital elevation model (DEM) mosaic was produced for Anegada, British Virgin Islands, from remotely sensed, geographically referenced elevation measurements...
This is a study of the British scientific mission to Los Alamos, New Mexico, from 1943 to 1947, and the impact it had on the early history of the atomic age. In the years following the Manhattan Project and the production of the world's first atomic explosion in 1945, the British contribution to the Project was played down or completely ignored leaving the impression that all the atomic scientists had been American. However, the two dozen or so British scientists contributed crucially to the development of the atomic bomb. First, the initial research and reports of British scientists convinced American scientists that an atomic weapons could be constructed before the likely end of hostilities. Secondly their contribution insured the bomb was available in the shortest possible time. Also, because these scientists became involved in post-war politics and in post-war development of nuclear power, they also helped forge the nuclear boundaries of the mid-twentieth century. (UK)
National Oceanic and Atmospheric Administration, Department of Commerce — The 3 arc-second British Columbia DEM will be used to support NOAA's tsunami forecast system and for tsunami inundation modeling. This DEM covers the coastal area...
U.S. Geological Survey, Department of the Interior — ASCII XYZ point cloud data for a portion of the environs of Anegada, British Virgin Islands, was produced from remotely sensed, geographically referenced elevation...
Okosieme, Onyebuchi; Gilbert, Jackie; Abraham, Prakash; Boelaert, Kristien; Dayan, Colin; Gurnell, Mark; Leese, Graham; McCabe, Christopher; Perros, Petros; Smith, Vicki; Williams, Graham; Vanderpump, Mark
The management of primary hypothyroidism with levothyroxine (L-T4) is simple, effective and safe, and most patients report improved well-being on initiation of treatment. However, a proportion of individuals continue to suffer with symptoms despite achieving adequate biochemical correction. The management of such individuals has been the subject of controversy and of considerable public interest. The American Thyroid Association (ATA) and the European Thyroid Association (ETA) have recently published guidelines on the diagnosis and management of hypothyroidism. These guidelines have been based on extensive reviews of the medical literature and include sections on the role of combination therapy with L-T4 and liothyronine (L-T3) in individuals who are persistently dissatisfied with L-T4 therapy. This position statement by the British Thyroid Association (BTA) summarises the key points in these guidelines and makes recommendations on the management of primary hypothyroidism based on the current literature, review of the published positions of the ETA and ATA, and in line with best principles of good medical practice. The statement is endorsed by the Association of Clinical Biochemistry, (ACB), British Thyroid Foundation, (BTF), Royal College of Physicians (RCP) and Society for Endocrinology (SFE). PMID:26010808
Full Text Available The majority of the Karen people in Burma are in fact Buddhist, in spite of their widespread image as Christian, pro-British, anti-Burman, and separatist. In the last decade of British rule, two Buddhist interpretations of Karen history—virtually the first ethnic self-assertion by the Buddhist Karens—were published along with the first Christian version. Writing in Burmese for Burmese readers, the authors of these Buddhist versions sought to prove that the Karen were a legitimate people (lumyo comparable to the Burman and Mon in the Buddhist world, with dynastic lineages of their own kingship (min reaching back into the remote past, and a group faithful to their religious order (thathana. This linkage of ethnicity=kingship=religion was presented in order to persuade skeptical readers who believed that the Karen, lacking the tradition of Buddhist min, were too primitive to constitute an authentic lumyo of the thathana world. Analysis of these texts will shed light on the social formation of Karen identity among the Buddhists from the 1920s to the 1930s. This will also lead us to consider the historical processes whereby the quasi-ethnic idioms and logic innate to the Burmese-speaking world were transformed in the face of modern and Western notions of race and nation, and consequently the mutation of Burma into an ethnically articulated society.
McMillan, Andrew; Ardeshna, Kirit M; Cwynarski, Kate; Lyttelton, Matthew; McKay, Pam; Montoto, Silvia
The guideline group was selected to be representative of UK-based medical experts. Ovid MEDLINE, EMBASE and NCBI Pubmed were searched systematically for publications in English from 1980 to 2012 using the MeSH subheading 'lymphoma, CNS', 'lymphoma, central nervous system', 'lymphoma, high grade', 'lymphoma, Burkitt's', 'lymphoma, lymphoblastic' and 'lymphoma, diffuse large B cell' as keywords, as well as all subheadings. The writing group produced the draft guideline, which was subsequently revised by consensus by members of the Haemato-oncology Task Force of the British Committee for Standards in Haematology (BCSH). The guideline was then reviewed by a sounding board of ~50 UK haematologists, the BCSH and the British Society for Haematology (BSH) Committee and comments incorporated where appropriate. The 'GRADE' system was used to quote levels and grades of evidence, details of which can be found in Appendix I. The objective of this guideline is to provide healthcare professionals with clear guidance on the optimal prevention of secondary central nervous system (CNS) lymphoma. The guidance may not be appropriate to patients of all lymphoma sub-types and in all cases individual patient circumstances may dictate an alternative approach. Acronyms are defined at time of first use.
Goo, Hyun Woo [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea, Republic of); Park, Jeong-Jun [University of Ulsan College of Medicine, Asan Medical Center, Department of Pediatric Cardiac Surgery, Seoul (Korea, Republic of); Kim, Ellen Ai-Rhan [University of Ulsan College of Medicine, Asan Medical Center, Division of Neonatology, Department of Pediatrics, Seoul (Korea, Republic of); Won, Hye-Sung [University of Ulsan College of Medicine, Asan Medical Center, Department of Obstetrics and Gynecology, Seoul (Korea, Republic of)
Most thoracopagus twins present with cardiac fusion and associated congenital cardiac defects, and assessment of this anatomy is of critical importance in determining patient care and outcome. Cardiac CT with electrocardiographic triggering provides an accurate and quick morphological assessment of both intracardiac and extracardiac structures in newborns, making it the best imaging modality to assess thoracopagus twins during the neonatal period. In this case report, we highlight the diagnostic value of cardiac CT in thoracopagus twins with an interatrial channel and complex congenital cardiac defects. (orig.)
Full Text Available The family is part of social change and, as such changes and transform into steps with modern trends of society. Family function in a given society is structured according to the overall changes that occur in all areas of social life, not neglecting family life. The contemporary conditions impose requirements that must be met to move forward with the times that follow. In particular, should highlight the social changes that are related to the growth and advancement of the educational and professional standards, which will increase the overall impact on the family and its function. If you're looking for full responsibility of parents in the upbringing of children then it is necessary to see the conditions in which the family lives. For normal education and the rights of children with special meaning the number of members in the (quantity family. The tendency to a higher standard of economic life, a small number of children in the family and it is more than obvious that fewer family members or less have greater opportunity for parents to pay more attention to their children. One of the main roles of family, no matter where they are located in the city, village, developed or developing countries, by all means participate, intermediates and transfers the moral, social and other values in modern life.
Sielecki, Leonard E.
The British Columbia Ministry of Transportation (BCMoT) has been addressing the issue of motor vehicle-related wildlife mortality on Provincial highways with wildlife exclusion fencing and related engineered structures since the 1980's. As a result, British Columbia wildlife are protected by the most extensive network of wildlife exclusion systems constructed by a transportation agency in North America. The BCMoT wildlife exclusion infrastructure consists of over 470 km of wildlife exclusion ...
The Business Council provided its comments concerning the Kyoto Protocol and climate change to the government of British Columbia, recommending that a clear position be established quickly on the matter. The adopted position should also be disseminated broadly to allow stake holders sufficient time to prepare for the upcoming meetings of the Joint Ministers and First Ministers. The federal government has announced that the decision on whether to ratify the Kyoto Protocol will be made before the end of 2002, and this decision will have numerous effects on the people of British Columbia, businesses, workers, and consumers alike. The Business Council of British Columbia believes that the unique interests of the province can best be protected by a proactive approach. Actions plans are being prepared by several of the other provinces and territories, who have already stated their position concerning the Kyoto Protocol. The long-term risks of climate change for British Columbia have not been determined nor have the elements of a provincial approach. The following elements should be included in British Columbia's position on the Kyoto Protocol, according to the Business Council of British Columbia: (1) a credible and cost-effective implementation plan that does not unduly burden the province and other jurisdictions must be developed before Canada decides to ratify the Protocol. British Columbia should go on the record stating it does not support the ratification of the Kyoto Protocol in its present form. (2) the province should advocate for a national approach to climate change that can be achieved within a reasonable time frame, reflects the long-term nature of the problem, and is in agreement with the economic development objectives of British Columbia, (3) a plan detailing how the province intends to deal with the growth of greenhouse gas emissions should supplement and support the position of the province on the Kyoto Protocol. Consumers and business should be engaged
This thesis investigates British fictional representations of India in novels, plays and poetry from 1772 to 1823. Rather than simply correlating literary portrayals to shifting colonial context and binary power relationships, the project relates representations to the impact of India on British popular culture, and print capitalism’s role in defining and promulgating national identity and proto-global awareness. The study contends that the internal historical development of th...
Poueymirou, Margaux Lynn Rosa
“The Sixth Sense: Synaesthesia and British Aestheticism 1860-1900” is an interdisciplinary examination of the emergence of synaesthesia conceptually and rhetorically within the ‘art for art’s sake’ movement in mid-to-late Victorian Britain. Chapter One investigates Swinburne’s focal role as both theorist and literary spokesman for the nascent British Aesthetic movement. I argue that Swinburne was the first to practice what Pater meant by ‘aesthetic criticism’ and that synaesthe...
This thesis examines the history of British anarchism in the late Victorian and Edwardian era against the background of the movement's popular image. The prevalent image of anarchism assumed the individual to be an unscrupulous criminal and the movement to be a conspiracy intent on unleashing revolutionary violence upon the world. Such a description imparted little of the authentic pursuits and beliefs of British anarchism and proved to be one of the major obstacles ev...
This article explores how the figure of the ambitious young woman is mediated within contemporary female-centred British sports films. The article begins by briefly outlining the relationship between postfeminism and neoliberalism and highlights the relevance of these discourses to contemporary female-centred sports films. It then goes on to explore how postfeminist, neoliberal values are mediated in the construction of the ambitious young woman through an analysis of the British film Chalet ...
Small-scale farms in British Columbia (BC) face the challenge of adapting to both positive and negative climate change impacts, while maintaining their financial viability. This study explores the issue of climate change adaptation for small-scale farmers in British Columbia using semi-structured interviews and case study analysis. Small farms frequently employ soil preservation techniques, organic methods, and grow a diversity of crops, which make them more resilient to some of the negative ...
Dilated cardiomyopathy and left bundle branch block associated with ingestion of colloidal gold and silver is reversed by British antiLewisite and vitamin E: The potential toxicity of metals used as health supplements
Archer, Stephen Lawrence
A case of left bundle branch block and a dilated, nonhypertrophic cardiomyopathy associated with ingestion of colloidal gold and silver as an ‘energy tonic’ is described. The cardiac disease was reversed within two months by a course of dimercaprol (Akorn Inc, USA) (British antiLewisite) and vitamin E. This is the first case of gold and silver cardiomyopathy in humans, and highlights the risks of these colloidal metal ‘health supplements’.
Parkes, H G; Veys, C A; Waterhouse, J A; Peters, A
Although it is over 30 years since an excess of bladder cancer was first identified in British rubber workers, the fear has persisted that this hazard could still be affecting men working in the industry today. Furthermore, suspicions have also arisen that other and hitherto unsuspected excesses of cancer might be occurring. For these reasons 33 815 men, who first started work in the industry between 1 January 1946 and 31 December 1960, have been followed up to 31 December 1975 to ascertain the number of deaths attributable to malignant disease and to compare these with the expected number calculated from the published mortality rates applicable to the male population of England and Wales and Scotland. The findings confirm the absence of any excess mortality from bladder cancer among men entering the industry after 1 January 1951 (the presumed bladder carcinogens were withdrawn from production processes in July 1949), but they confirm also a statistically significant excess of both lung and stomach cancer mortality. A small excess of oesophageal cancer was also observed in both the tyre and general rubber goods manufacturing sectors. American reports of an excess of leukaemia among rubber workers receive only limited support from the present study, where a small numerical excess of deaths from leukaemia is not statistically significant. A special feature of the study is the adoption of an analytical method that permits taking into account the long latent period of induction of occupational cancer. PMID:7093147
Parkes, H G; Veys, C A; Waterhouse, J A; Peters, A
Although it is over 30 years since an excess of bladder cancer was first identified in British rubber workers, the fear has persisted that this hazard could still be affecting men working in the industry today. Furthermore, suspicions have also arisen that other and hitherto unsuspected excesses of cancer might be occurring. For these reasons 33 815 men, who first started work in the industry between 1 January 1946 and 31 December 1960, have been followed up to 31 December 1975 to ascertain the number of deaths attributable to malignant disease and to compare these with the expected number calculated from the published mortality rates applicable to the male population of England and Wales and Scotland. The findings confirm the absence of any excess mortality from bladder cancer among men entering the industry after 1 January 1951 (the presumed bladder carcinogens were withdrawn from production processes in July 1949), but they confirm also a statistically significant excess of both lung and stomach cancer mortality. A small excess of oesophageal cancer was also observed in both the tyre and general rubber goods manufacturing sectors. American reports of an excess of leukaemia among rubber workers receive only limited support from the present study, where a small numerical excess of deaths from leukaemia is not statistically significant. A special feature of the study is the adoption of an analytical method that permits taking into account the long latent period of induction of occupational cancer. PMID:7093147
Global travel, advanced in the early 20th century by trains, automobiles, and airplanes, transformed modernist thought and experience. Stephen Kern has commented that in the modern period “a series of sweeping changes in technology and culture created distinctive new modes of thinking about and experiencing of time and space. Technological innovations including the telephone, wireless telegraph, x-ray, cinema, bicycle, automobile, and airplane established the material foundation for this reorientation.” (1983, pp. 1-2). Emerging travel technologies not only hurled passengers through multiple time zones in a day but also brought to the fore a global awareness regarding Earth as a globe in space and one's position on it. As early as 1909, while traveling in Florence, Virginia Woolf had noted in her diary, “It is strange how one begins to hold a globe in one's head: I can travel from Florence to Fitzroy Square on solid land all the time” (1984, p. 399). This paper traces the ways modernist British travel writers challenged England's geographical and geopolitical imagination at the turn of the 20th century through their travel narratives.
The British Columbia Ministry of Energy and Mines is promoting the development of the coalbed methane (CBM) industry in the province in order to make CBM a viable and competitive investment option for industry. It is establishing a regulatory and fiscal regime for CBM development. Issues of concern regarding CBM development include water production, gas production rates, well numbers, and marginal economics. The features of the CBM royalty regime include a new producer cost of service allowance, the creation of a CBM royalty tax bank to collect excess PCOS allowances, and a royalty tax credit for wells drilled by the end of February, 2004. The marginal well adjustment factor threshold has been raised from 180 mcf per day to 600 mcf per day for CBM only. It was noted that royalties will probably not be payable for several years following the first commercial well because royalties are very depending on capital and operating costs, local infrastructure and price. Royalty regimes cannot save CBM from low gas prices, poor resources or economics. 2 figs
This paper presents an outline of the organization, procedures and duties of the provincial government in response to inland oil spills stemming from pipeline or tank-farm rupture, train derailment and vehicle accidents in British Columbia. Provincial response strategies were reviewed, along with their relationships to various policies and standards. Public, infrastructure and environmental protection were identified as key factors. Incident notification procedures were detailed, including outlines of roles, event criteria and call for incident management teams. Agreements and cost recovery issues were examined. The characteristics of site response were reviewed, including details of communications, tactical planning, and unified command among local and federal governments. The role of First Nations and responsible parties was also addressed. Details of shore cleanup, wildlife rescue, decontamination, and waste handling strategies were presented. The organization, missions and duties for an incident management team were outlined, along with a summary of operational guidelines and information on team positions and the establishment of joint information centres. The involvement of cooperating agencies was examined. An incident command system was also presented, including details of planning, operations, logistics, and organization. A checklist of individual duties was provided, with details of responsibilities, safety issues and general instructions for all team members. tabs., figs
Molinero, Carlos; Smith, Duncan; Batty, Michael
The outcome of the British General Election to be held in just over one week's time is widely regarded as the most difficult in living memory to predict. Current polls suggest that the two main parties are neck and neck but that there will be a landslide to the Scottish Nationalist Party with that party taking most of the constituencies in Scotland. The Liberal Democrats are forecast to loose more than half their seats and the fringe parties of whom the UK Independence Party is the biggest are simply unknown quantities. Much of this volatility relates to long-standing and deeply rooted cultural and nationalist attitudes that relate to geographical fault lines that have been present for 500 years or more but occasionally reveal themselves, at times like this. In this paper our purpose is to raise the notion that these fault lines are critical to thinking about regionalism, nationalism and the hierarchy of cities in Great Britain (excluding Northern Ireland). We use a percolation method (Arcaute et al. 2015) to...
British Energy has formal succession management arrangements, which have evolved over the years to meet the needs of the company. Whilst they are an ongoing process, the arrangements are most manifest in an annual review which results in an overall succession plan for the company. The process embodies a twin-track approach of reviewing existing managers whilst also identifying younger staff with significant potential. These younger staff members are allocated into one of two groupings: those identified as having director level potential, who have their development managed centrally, and those considered to have management potential, the development of whom is managed by the business unit to which they belong, with support from the center as requested. The staff members in both these groupings are kept under review and, if the circumstances warrant it, there may be movement between the two groupings. The aim of succession management is to ensure the company has sufficient experienced, qualified and tested staff to provide succession to senior and other key posts
Mohsen M. Saleh
Full Text Available The essence of the British military and security formula in Palestine was the smooth establishment of the Jewish national home with minimum costs of lives and money. However, this British pro-Zionist policy created a continuous security problem, and opened the door to all possibilities of Palestinian revolts and uprisings of both national and religious nature. The British were very active in disarming the Arabs and adopted stringent measures to crush their uprisings and revolts. But, they turned a blind eye to the Jewish arms smuggling and Jewish military organizations, especially, the Hagana, which later became the backbone of the Israeli Army. During Palestinian uprisings of 1920, 1921 and 1929 against the Zionists, most of the Palestinian casualties were inflicted by the British forces despite the fact that the Palestinians avoided attacking the British. The British-Zionist cooperation reached its peak during the Palestinian revolt of 1936-1939, and took different forms, including allowing the Jews to establish a military force of twenty two thousand men under the pretext of protecting the Jewish community.
Yipsy María Gutiérrez Báez
Full Text Available Since the second half of the twentieth century, dying suddenly due to heart-related problems has become the main health issue in all countries where infectious diseases are not prevalent. Sudden death from cardiac causes is an important global health problem. Major databases were searched for the leading causes of sudden cardiac death. It has been demonstrated that there is a group of hereditary diseases with structural alterations or without apparent organic cause that explains many cases of sudden death in young people, whether related or not to physical exertion. Certain population groups are at higher risk for this disease. They are relatively easy to identify and can be the target of primary prevention measures.
Full Text Available In 1965 Professor Thomas Southcliffe Ashton (1889-1968, who had recently retired from the London School of Economics, was invited by the students of the Economic History Society at University of Exeter to be their president. He came to Exeter on 29 April 1966 to deliver his presidential address in which he talked about four economic historians he had known: William Ashley, George Unwin, J.L. Hammond and R.H. Tawney. This paper was the result.
van Rossum Albert C
Full Text Available Abstract These reporting guidelines are recommended by the Society for Cardiovascular Magnetic Resonance (SCMR to provide a framework for healthcare delivery systems to disseminate cardiac and vascular imaging findings related to the performance of cardiovascular magnetic resonance (CMR examinations.
The CERN & Society programme brings together projects in the areas of education and outreach, innovation and knowledge exchange, and culture and arts, that spread the CERN spirit of scientific curiosity for the inspiration and benefit of society. Today, CERN & Society is launching its "giving" website – a portal to allow donors to contribute to various projects and forge new relationships with CERN. "The CERN & Society initiative in its embryonic form began almost three years ago, with the feeling that the laboratory could play a bigger role for the benefit of society," says Matteo Castoldi, Head of the CERN Development Office, who, with his team, is seeking supporters and ambassadors for the CERN & Society initiative. "The concept is not completely new – in some sense it is embedded in CERN’s DNA, as the laboratory helps society by creating knowledge and new technologies – but we would like to d...
Past experience has shown that the successful introduction of a new technology requires careful attention to the interactions between the technology and society. These interactions are bi-directional: on the one hand, technology changes and challenges social patterns and, on the other hand, the governance structures and values of the society affect progress in developing the technology. Nanotechnology is likely to be particularly affected by these kinds of interactions because of its great promise and the unusually early public attention it has received. Moreover, it represents a new kind of experiment in packaging a rather wide range of fundamental research activities under a single 'mission-like' umbrella. Although this gives it more impetus as a field, it sets a higher bar for showing successful applications early on and because it links disparate fields, regulatory regimes reasonable for one kind of nanotechnology development may be inappropriately extended to others. There are a number of lessons to be gleaned from experience with the introduction of other technologies, which offer guidance with respect to what pitfalls to avoid and what issues to be sensitive to as we move forward with the development of nanotechnology applications. The problems encountered by nuclear power point out the dangers of over-promising and the role the need for the technology plays in ameliorating fears of risk. The public reaction to biomedical engineering and biotechnology highlights, in addition, the cultural factors that come into play when technologies raise questions about what is 'natural' and what is 'foreign' and what conceptions are involved in defining 'personhood'. In all cases, it has been clear that a main task for those introducing new technology is building public trust-in the safety of the technologies and the integrity of those introducing it. The advocates of nanotechnology have already shown that they are generally aware of the need to consider the public
Illingworth, Samuel; Muller, Jennifer; Leather, Kimberley; Morgan, William; O'Meara, Simon; Topping, David; Booth, Alastair; Llyod, Gary; Young, Dominique; Bannan, Thomas; Simpson, Emma; Percival, Carl; Allen, Grant; Clark, Elaine; Muller, Catherine; Graves, Rosemarie
"Nothing in science has any value to society if it is not communicated." So goes the 1952 quote from Anne Roe, the noted twentieth century American psychologist and writer. She went on to say that "scientists are beginning to learn their social obligations", and now over 60 years later there is certainly evidence to support her assertions. As scientists, by communicating our research to the general public we not only better inform the tax payer where their money is being spent, but are also able to help put into context the topical environmental challenges and issues that society faces, as well as inspiring a whole new generation of future scientists. This process of communication is very much a two-way street; by presenting our work to people outside of our usual spheres of contemporaries, we expose ourselves to alternative thoughts and insights that can inspire us, as scientists, to take another look at our research from angles that we had never before considered. This work presents the results and experiences from a number of public engagement and outreach activities across the UK, in which geoscientists engaged and interacted with members of the general public. These include the design and implementation of Raspberry Pi based outreach activities for several hundred high school students; the process of running a successful podcast (http://thebarometer.podbean.com); hosting and participating in science events for thousands of members of the general public (e.g. http://www.manchestersciencefestival.com and http://sse.royalsociety.org/2013); and creating a citizen science activity that involved primary school children from across the UK. In communicating their research it is imperative that scientists interact with their audience in an effective and engaging manner, whether in an international conference, a classroom, or indeed down the pub. This work also presents a discussion of how these skills can be developed at an early stage in the careers of a research
Full Text Available Major advances have been achieved over the two last decades in the field of genetic cardiovascular diseases, not only through increased recognition and understanding of underlying molecular defects but also through rapid translation of knowledge into clinical practice. Genetic counseling and organization of cardiac family screening has become part of the medical management of these diseases, and these should be performed systematically unless an acquired cause has been diagnosed...
MILICA RADISIC; GORDANA VUNJAK-NOVAKOVIC
We hypothesized that clinically sized (1-5 mm thick),compact cardiac constructs containing physiologically high density of viable cells (~108 cells/cm3) can be engineered in vitro by using biomimetic culture systems capable of providing oxygen transport and electrical stimulation, designed to mimic those in native heart. This hypothesis was tested by culturing rat heart cells on polymer scaffolds, either with perfusion of culture medium (physiologic interstitial velocity, supplementation of p...
Mahler, Gretchen J.; Jonathan T Butcher
Congenital heart disease is a highly prevalent problem with mostly unknown origins. Many cases of CHD likely involve an environmental exposure coupled with genetic susceptibility, but practical and ethical considerations make nongenetic causes of CHD difficult to assess in humans. The development of the heart is highly conserved across all vertebrate species, making animal models an excellent option for screening potential cardiac teratogens. This review will discuss exposures known to cause ...
Gaemperli, Oliver [University Hospital Zurich, Cardiac Imaging, Zurich (Switzerland); University Hospital Zurich, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Cardiac Imaging, Zurich (Switzerland); Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic and Interventional Radiology, Zurich (Switzerland)
Hybrid cardiac single photon emission computed tomography (SPECT)/CT imaging allows combined assessment of anatomical and functional aspects of cardiac disease. In coronary artery disease (CAD), hybrid SPECT/CT imaging allows detection of coronary artery stenosis and myocardial perfusion abnormalities. The clinical value of hybrid imaging has been documented in several subsets of patients. In selected groups of patients, hybrid imaging improves the diagnostic accuracy to detect CAD compared to the single imaging techniques. Additionally, this approach facilitates functional interrogation of coronary stenoses and guidance with regard to revascularization procedures. Moreover, the anatomical information obtained from CT coronary angiography or coronary artery calcium scores (CACS) adds prognostic information over perfusion data from SPECT. The use of cardiac hybrid imaging has been favoured by the dissemination of dedicated hybrid systems and the release of dedicated image fusion software, which allow simple patient throughput for hybrid SPECT/CT studies. Further technological improvements such as more efficient detector technology to allow for low-radiation protocols, ultra-fast image acquisition and improved low-noise image reconstruction algorithms will be instrumental to further promote hybrid SPECT/CT in research and clinical practice. (orig.)
Jerram, Dougal A.; Goodenough, Kathryn Mary; Troll, Valentin R.
The study of volcanic rocks and igneous centres has long been a classic part of geological research. Despite the lack of active volcanism, the British Isles have been a key centre for the study of igneous rocks ever since ancient lava flows and excavated igneous centres were recognized there in the 18th century (Hutton, 1788). This led to some of the earliest detailed studies of petrology. The starting point for many of these studies was the British Palaeogene Igneous Province (BPIP; formerly...
In June 2007, the RAND Corporation and the Royal Danish Defence College hosted a conference titled “Afghanistan: State and Society, Great Power Politics, and the Way Ahead”. The two-day event, held in Copenhagen, was attended by more than 100 politicians, scholars, academics, and representative...... of both governmental and nongovernmental institutions from more than 20 states. Its theme was to discuss the problems that Afghanistan faces in the wake of the U.S.-led attack on al Qaeda training camps and the Taliban government; examine the challenges confronting the NATO International Security...... Assistance Force as it coordinates nation-building activities in Afghanistan; and suggest ways to address these issues. This volume compiles 11 of the papers presented at the conference; themes include the importance of historical precedents, coordination among relevant parties, and the development of an all...
Krapfl, Jon E
A probable list of causes for the limited acceptance of behaviorism in our society is identified. This is followed by a summary review of the proposed solutions identified in other papers in this special issue of The Behavior Analyst, most of which relate to either better marketing of either the behavior analytic process or the results achieved as a consequence. One paper proposes a more broad conception of behavior analysis. This paper endorses the solutions identified in previous papers and then goes on to propose an even more broad conception of behavior analysis and makes the point that behavior analysis is unlikely to flourish unless behavior analysts understand a good deal more about the cultural and other contextual features of the environments in which they work. PMID:27606191
Fifteen years after the collapse of the Soviet Union, popular music is thriving in the former Soviet territories and covers a broad variety of genres. Among these are rock bands formed in the Soviet era, surviving legends of Soviet pop, and younger bands and performers of the 1990s and 2000s....... Local and foreign musics blend as new impulses arrive from without and arise from within the region. Thanks to the most recent wave of Russian emigrants, these popular musics have also spread to various localities around the world, as exemplified by the phenomenon of "Russendisko" in Berlin...... or the Russkii Rok-Klub v Amerike (Russian Rock Club of America). This special edition of Popular Music and Society aims to present research on contemporary popular music (broadly defined) in the former Soviet republics and their diasporas. A central issue will be how the musical landscape has changed since...
Kristiansson, Michael; Skouvig, Laura
brought about by the boom of the internet and the advent of the post-modern globalised knowledge-based and network-organised society. Finally, the paper outlines how theoretical and strategic library development can benefit from academic considerations on the dialectics between openness and restrictedness......The purpose of the paper is to investigate the phenomenon of openness in relation to library development. The term openness is presented and related to library development from historical and theoretical perspectives. The paper elaborates on the differences over time on to how openness has been...... understood in a library setting. Historically, openness in form of the open shelves played a crucial role in developing the modern public library. The paper examines this openness-centred library policy as adopted by Danish public libraries in the beginning of the 20th century by applying the theories...
Prof. A. Blowers observed that the social context within which radioactive waste management is considered has evolved over time. The early period where radioactive waste was a non-issue was succeeded by a period of intense conflict over solutions. The contemporary context is more consensual, in which solutions are sought that are both technically sound and socially acceptable. Among the major issues is that of inter-generational equity embraced in the question: how long can or should our responsibility to the future extend? He pointed out the differences in timescales. On the one hand, geo-scientific timescales are very long term, emphasizing the issue of how far into the future it is possible to make predictions about repository safety. By contrast, socio cultural timescales are much shorter, focusing on the foreseeable future of one or two generations and raising the issue of how far into the future we should be concerned. He listed. the primary expectations from society which are: safety and security to alleviate undue burdens to future generations and flexibility in order to enable the future generations to have a stake in decision making. The need to reconcile the two had led to a contemporary emphasis on phased geological disposal incorporating retrievability. However, the long timescales for implementation of disposal provided for sufficient flexibility without the need for retrievability. Future generations would inevitably have sold stake in decision making. Prof. A.. Blowers pointed out that society is also concerned with participation in decision making for implementation. The key elements for success are: openness and transparency, staged process, participation, partnership, benefits to enhance the well being of communities and a democratic framework for decision making, including the ratification of key decisions and the right for communities to withdraw from the process up to a predetermined point. This approach for decision making may also have
Cardiac alternans, a beat-to-beat alternation in action potential duration (at the cellular level) or in ECG morphology (at the whole heart level), is a marker of ventricular fibrillation, a fatal heart rhythm that kills hundreds of thousands of people in the US each year. Investigating cardiac alternans may lead to a better understanding of the mechanisms of cardiac arrhythmias and eventually better algorithms for the prediction and prevention of such dreadful diseases. In paced cardiac tissue, alternans develops under increasingly shorter pacing period. Existing experimental and theoretical studies adopt the assumption that alternans in homogeneous cardiac tissue is exclusively determined by the pacing period. In contrast, we find that, when calcium-driven alternans develops in cardiac fibers, it may take different spatiotemporal patterns depending on the pacing history. Because there coexist multiple alternans solutions for a given pacing period, the alternans pattern on a fiber becomes unpredictable. Usin...
Schleich, Jean-Marc; Abdulla, Tariq; Summers, Ron; Houyel, Lucile
Accurate knowledge of normal cardiac development is essential for properly understanding the morphogenesis of congenital cardiac malformations that represent the most common congenital anomaly in newborns. The heart is the first organ to function during embryonic development and is fully formed at 8 weeks of gestation. Recent studies stemming from molecular genetics have allowed specification of the role of cellular precursors in the field of heart development. In this article we review the different steps of heart development, focusing on the processes of alignment and septation. We also show, as often as possible, the links between abnormalities of cardiac development and the main congenital heart defects. The development of animal models has permitted the unraveling of many mechanisms that potentially lead to cardiac malformations. A next step towards a better knowledge of cardiac development could be multiscale cardiac modelling. PMID:24138816
Young, Robert H
The venerable tradition of British gynaecological pathology is honoured by brief comments on those who have pioneered work in this arena, using as the starting point the remarkable Scottish physician Dr Matthew Baillie who, with his uncles, the legendary William and John Hunter, can arguably be considered the founders of medicine in Great Britain. The impact of Baillie's great work 'The Morbid Anatomy of Some of the Most Important Parts of the Human Body' is noted. Because of the fame they achieved in working in other areas, the contributions to gynaecological pathology of Thomas Hodgkin and Richard Bright, particularly the former, are often overlooked and are noted herein as is a remarkable book on the ovary by Charles G. Ritchie, published in 1865. The middle years of the 19th century were notable because of the activities of pioneering surgeons such as Sir Spencer Wells and Lawson Tait which gradually led to a greater emphasis on pathologic examination of specimens removed at operation, as opposed to autopsy evaluation. The closing years of the 19th century and early years of the 20th century were dominated by five individuals, Alban Doran, John Bland-Sutton, Cuthbert Lockyer, Elizabeth Hurdon and John Hammond Teacher. Doran wrote an early study of tubal carcinoma and a book on that organ and the ovary. Bland-Sutton was a remarkably influential surgeon with a significant interest in pathology and also contributed a book on the ovary and fallopian tube as well as one of the early good papers on metastatic tumours to the ovary. Lockyer wrote an outstanding book on uterine fibroids and established, and funded, a museum at Charing Cross Hospital. Hurdon can be considered the first female gynaecological pathologist. She spent much of her active career in the United States working at Johns Hopkins Hospital. She co-authored a monumental book on the appendix, likely never to be equalled. Teacher worked in Glasgow for many years and was almost single-handedly responsible
Today Canada stands on the threshold of a nuclear renaissance, based on the CANDU reactor family, which depends on heavy water as a moderator and for cooling. Canada has a long history with heavy water, with commercial interests beginning in 1934, a mere two years after its discovery. At one time Canada was the world's largest producer of heavy water. The Second World War stimulated interest in this rather rare substance, such that the worlds largest supply (185 kg) ended up in Canada in 1942 to support nuclear research work at the Montreal Laboratories of the National Research Council. A year later commercial production began at Trail, British Columbia, to support work that later became known as the P-9 project, associated with the Manhattan Project. The Trail plant produced heavy water from 1943 until 1956, when it was shut down. During the war years the project was so secret that Lesslie Thomson, Special Liaison Officer reporting on nuclear matters to C.D. Howe, Minister of Munitions and Supply, was discouraged from visiting Trail operations. Thomson never did visit the Trail facility during the war. In 2005 the remaining large, tall concrete exchange tower was demolished at a cost of about $2.4 million, about the same as it cost to construct the facility about 60 years ago. Thus no physical evidence remains of this historic facility and another important artifact from Canada's nuclear history has disappeared forever. It is planned to place a plaque at the site at some point in the future. (author)
Wasfy, Meagan M; Hutter, Adolph M; Weiner, Rory B
There are clear health benefits to exercise; even so, patients with cardiac conditions who engage in exercise and athletic competition may on rare occasion experience sudden cardiac death (SCD). This article reviews the epidemiology and common causes of SCD in specific athlete populations. There is ongoing debate about the optimal mechanism for SCD prevention, specifically regarding the inclusion of the ECG and/or cardiac imaging in routine preparticipation sports evaluation. This controversy and contemporary screening recommendations are also reviewed. PMID:27486488
Full Text Available Summary: Penetrating cardiac injurys caused by gunshots and penetrating tools have high mortality rates. The way of injury, how the cardiac area is effected and the presence of cardiac tamponadecauses mortality in different rates. However the better treatment quality of hospitals, increasingoperative techniques, and internel care unit quality has not been change during the years. Searching the literature, we want to present a 42 years old male patient whowas injured by knife and had a 1 cm skin wound on chest with cardiac tamponade. After sternotomy a 7 cm laseration was observed in heart. Cardioraphy was performed.
Chia, Pow-Li; Foo, David
With the increased use of cardiac implantable electronic devices (CIEDs), it is increasingly important to recognise the unique challenges involved in the management of patients with CIEDs who are undergoing surgery. Practice advisories and consensus statements have been issued by the American Society of Anesthesiologists and the Heart Rhythm Society, advocating a multidisciplinary approach. This review discusses and presents a practical approach to perioperative CIED management in the Singapore context. PMID:26512144
Representatives from ten Norwegian companies in the offshore supplies industry were interviewed to explore the opportunities and barriers they had experienced in their effort to enter the British offshore sector. The interviews revealed that there are mainly four reasons why British sector is regarded as a favorable market: British sector is a natural homemarket, buyers operate both on the British and the Norwegian sector, the British sector can be a ''door-opener'' to the rest of the English speaking world, and finally the British sector is a market of considerable size. The companies had mainly encountered three types of barriers: British culture/communication problems, heavy competition from British suppliers, and protectionism. The report is concluded by summarizing what we believe are the critical success factors for entering the British sector. Directions for further research are also given
AN Jian-xiong; Li-Ming Zhang; Erin A.Sullivan; GUO Qu-lian; John P.Williams
Background Patient safety has been gained much more attention in recent years.The authors reviewed patients who had cardiac arrest in the operating rooms undergoing noncardiac surgery between January 1989 and December 2001 at the University of Pittsburgh Medical Center,USA.The main objectives of the study were to determine the incidence of intraoperative cardiac arrest,to identify possible causes of cardiac arrest and to explore amenable modifications.Methods With approval by the University of Pittsburgh Institutional Review Board,patients experienced cardiac arrest during surgery were retrieved from medical records,surgical operation and anesthesia records and pathological reports by searching the Medical Archival Retrieval System (MARS),a hospital electronic searching system.Cases of cardiac arrest were collected over a period of thirteen years from the Pre byteria University Hospital (PUH),USA.Results We found 23 cases of intraoperative cardiac arrests occurred in 218 274 anesthesia cases (1.1 per 10 000).Fourteen patients (60.8%) died in the operating room,leading to a mortality rate from all causes of 0.64 per 10 000 anesthetics.Immediate overall survival rate after arrest was 39% (9/23).Half of the patients (12/23) were emergency cases with 41% survival rate (5/12).One fourth of the arrests were trauma patients (6/23).Most arrest patients (87%,20/23) were American Society of Anesthesiologists Physical Status (ASA PS) Ⅳ and Ⅴ,while only three patients were ASA PS-Ⅰ,Ⅱ and Ⅲ,respectively.One case was attributable to an anesthesia-related cardiac arrest and recovered after successful resuscitation.Conclusions Most intraoperative cardiac arrests were not due to anesthesia-related causes.Anesthesia-related cardiac arrests might have a higher survival rate when compared to other possible causes of cardiac arrest in the operating room.
Dipesh Bhagabati; Anil Kumar
Numerous issues related to culture, occupation, gender, caste, and health, to name a few, have faced harshness of society from time immemorial. Reasons are debatable, ranging from somewhat understandable to completely unacceptable. There is no doubt that society is dynamic and it has changed its view on many of the issues with passing time. Mental health is one such issue which society has neglected for quite a long time. Even today, mental health and mentally ill people face stigma and discr...
Abstract: Modern society needs the active engagement of individuals in every level of modern life because some of them do not have the opportunity and capacity to perform at the desired level and sometimes are likely to transmit prejudices to their environment. Modern society should offer new aspects in the intercultural communication, so that people will have the opportunity to over¬come their prejudices and prevent them from becoming a barrier in their life. Especially modern society re...
The rapidly changing nature of modern societies needs to enable the benchmarking of progress through statistical indicators. The book is taking up the challenge of using newly developed innovative information society indicators, tested and piloted in a representative survey held in all EU Member States, Switzerland and the United States in 2002 and in ten new associated states in 2003. The first part of the book concerns benchmarking Information society development in Bulgaria. The topics...
Paknezhad, Mahsa; Marchesseau, Stephanie; Brown, Michael S.
Identification of the basal slice in cardiac imaging is a key step to measuring the ejection fraction (EF) of the left ventricle (LV). Despite research on cardiac segmentation, basal slice identification is routinely performed manually. Manual identification, however, has been shown to have high inter-observer variability, with a variation of the EF by up to 8%. Therefore, an automatic way of identifying the basal slice is still required. Prior published methods operate by automatically tracking the mitral valve points from the long-axis view of the LV. These approaches assumed that the basal slice is the first short-axis slice below the mitral valve. However, guidelines published in 2013 by the society for cardiovascular magnetic resonance indicate that the basal slice is the uppermost short-axis slice with more than 50% myocardium surrounding the blood cavity. Consequently, these existing methods are at times identifying the incorrect short-axis slice. Correct identification of the basal slice under these guidelines is challenging due to the poor image quality and blood movement during image acquisition. This paper proposes an automatic tool that focuses on the two-chamber slice to find the basal slice. To this end, an active shape model is trained to automatically segment the two-chamber view for 51 samples using the leave-one-out strategy. The basal slice was detected using temporal binary profiles created for each short-axis slice from the segmented two-chamber slice. From the 51 successfully tested samples, 92% and 84% of detection results were accurate at the end-systolic and the end-diastolic phases of the cardiac cycle, respectively.
In October 2005, as the United States still was reeling from Hurricane Katrina in August and as the alphabet was too short to contain all of that year's named Atlantic tropical storms (Hurricane Wilma was forming near Jamaica), a timely workshop in Bermuda focused on climate extremes and society (see Eos, 87(3), 25, 17 January 2006). This edited volume, which corresponds roughly to the presentations given at that workshop, offers a fascinating look at the critically important intersection of acute climate stress and human vulnerabilities. A changing climate affects humans and other living things not through the variable that most robustly demonstrates the role of rising greenhouse gases—globally averaged temperature—but through local changes, especially changes in extremes. The first part of this book, “Defining and modeling the nature of weather and climate extremes,” focuses on natural science. The second part, “Impacts of weather and climate extremes,” focuses on societal impacts and responses, emphasizing an insurance industry perspective because a primary sponsor of the workshop was the Risk Prediction Initiative, whose aim is to “support scientific research on topics of interest to its sponsors” (p. 320).
... much more! class="box-li"> Journal of Nuclear Cardiology Official publication of the American Society of Nuclear Cardiology Clinical Guidelines Procedures, Appropriate Use Criteria, Information Statements ...
Full Text Available Cardiac surgery exerts a significant strain on the blood bank services and is a model example in which a multi-modal blood-conservation strategy is recommended. Significant bleeding during cardiac surgery, enough to cause re-exploration and/or blood transfusion, increases morbidity and mortality. Hyper-fibrinolysis is one of the important contributors to increased bleeding. This knowledge has led to the use of anti-fibrinolytic agents especially in procedures performed under cardiopulmonary bypass. Nothing has been more controversial in recent times than the aprotinin controversy. Since the withdrawal of aprotinin from the world market, the choice of antifibrinolytic agents has been limited to lysine analogues either tranexamic acid (TA or epsilon amino caproic acid (EACA. While proponents of aprotinin still argue against its non-availability. Health Canada has approved its use, albeit under very strict regulations. Antifibrinolytic agents are not without side effects and act like double-edged swords, the stronger the anti-fibrinolytic activity, the more serious the side effects. Aprotinin is the strongest in reducing blood loss, blood transfusion, and possibly, return to the operating room after cardiac surgery. EACA is the least effective, while TA is somewhere in between. Additionally, aprotinin has been implicated in increased mortality and maximum side effects. TA has been shown to increase seizure activity, whereas, EACA seems to have the least side effects. Apparently, these agents do not differentiate between pathological and physiological fibrinolysis and prevent all forms of fibrinolysis leading to possible thrombotic side effects. It would seem prudent to select the right agent knowing its risk-benefit profile for a given patient, under the given circumstances.
Teferle, F. N.; Hansen, D. N.; Bingley, R. M.; Williams, S. D.; Woodworth, P. L.; Gehrels, W. R.; Bradley, S. L.; Stocchi, P.
Recently a number of new and/or updated sources for estimates of vertical land movements for the British Isles have become available allowing the relative and average changes in sea levels for this region to be revisited. The geodetic data set stems from a combination of re-processed continuous Global Positioning System (GPS) measurements from stations in the British Isles and from a global reference frame network, and absolute gravity (AG) measurements from two stations in the British Isles. The geologic data set of late Holocene sea level indicators has recently been updated, now applying corrections for the 20th century sea level rise, syphoning effect and late Holocene global ice melt, and expanded to Northern Ireland and Ireland. Several new model predictions of the glacial isostatic adjustment (GIA) process active in this region form the modelling data set of vertical land movements for the British Isles. Correcting the updated revised local reference (RLR) trends from the Permanent Service for Mean Sea Level (PSMSL) with these vertical land movement data sets, regional and averaged changes in sea levels around the British Isles have been investigated. Special focus is thereby also given to the coastal areas that have recently been identified within the UK Climate Projections 2009.
Henten, Anders; Falch, Morten
The Danish Government recently issued a new policy report, Digital Denmark, on the "conversion to a network society", as a successor to its Information Society 2000 report (1994). This is part of a new round of information society policy vision statements that are, or will be forthcoming from...... for a welfare society. However, globalisation and the spreading use of new information and communication technologies and services challenge this position. This article examines Denmark's performance in implementing its IS 2000 plans, the background to the Digital Denmark report, and its implications...... national governments everywhere. Denmark provides an interesting case study because it ranks high in the benchmark indicators of information network society developments. This position has been obtained largely by public sector initiatives and without erosion of the highly reputed Scandinavian model...
The paper aims to present the results of the Cernavoda NPP Training Department modernization project. In order to achieve a knowledge society training system, in the first stage of the project a Computer Based Training (CBT) or E-Learning software platform and several CBT objects/courses have been implemented. The conceived solution is called CBTCenter which is a complete E-Learning and CBT system, offering a variety of teaching and learning tools and services to its users. CBT and/or E-Learning always mean two things: a software platform and content authoring. Ideally, a software platform should be able to import any type of flat documentation and integrate it into a structured database which keeps track of pedagogically meaningful information like the student's progress in studying materials, tests and quizzes, grades, etc. At the same time, the materials, the study and the tests have to be organized around certain objectives which play the role of guidelines during the entire educational activity. An example of such a course which has been successfully integrated into CBTCenter is Labour safety - code name BB-001. The implementation of the CBT technology at NPP Cernavoda Training Department has brought several advantages: the technology improves overall communication between all individuals which take part in the educational process; the classroom space problem has been considerably reduced; students can access training materials from their own desk using the NPP intranet; the logistics problems will decrease with the conversion of more and more conventional courses and materials into CBT objects/courses. (authors)
Conclusions: All survivors from cardiac arrest have received appropriate medical assistance within 10 min from attack, which implies that if cardiac arrest occurs near an institution health care (with an opportunity to provide the emergent health care the rate of survival is higher.
Rao, Christopher; Patel, Vanash; Ibrahim, Michael; Ahmed, Kamran; Wong, Kathie A; Darzi, Ara; von Segesser, Ludwig K; Athanasiou, Thanos
Despite the efficacy of cardiac surgery, less invasive interventions with more uncertain long-term outcomes are increasingly challenging surgery as first-line treatment for several congenital, degenerative and ischemic cardiac diseases. The specialty must evolve if it is to ensure its future relevance. More importantly, it must evolve to ensure that future patients have access to treatments with proven long-term effectiveness. This cannot be achieved without dynamic leadership; however, our contention is that this is not enough. The demands of a modern surgical career and the importance of the task at hand are such that the serendipitous emergence of traditional charismatic leadership cannot be relied upon to deliver necessary change. We advocate systematic analysis and strategic leadership at a local, national and international level in four key areas: Clinical Care, Research, Education and Training, and Stakeholder Engagement. While we anticipate that exceptional individuals will continue to shape the future of our specialty, the creation of robust structures to deliver collective leadership in these key areas is of paramount importance. PMID:20884217
Pihkala, J; Nykanen, D; Freedom, R M; Benson, L N
Over the past decade, transcatheter interventions have become increasingly important in the treatment of patients with congenital heart lesions. These procedures may be broadly grouped as dilations (e.g., septostomy, valvuloplasty, angioplasty, and endovascular stenting) or as closures (e.g., vascular embolization and device closure of defects). Balloon valvuloplasty has become the treatment of choice for patients in all age groups with simple valvar pulmonic stenosis and, although not curative, seems at least comparable to surgery for congenital aortic stenosis in newborns to young adults. Balloon angioplasty is successfully applied to a wide range of aortic, pulmonary artery, and venous stenoses. Stents are useful in dilating lesions of which the intrinsic elasticity results in vessel recoil after balloon dilation alone. Catheter-delivered coils are used to embolize a wide range of arterial, venous, and prosthetic vascular connections. Although some devices remain investigational, they have been successfully used for closure of many arterial ducts and atrial and ventricular septal defects. In the therapy for patients with complex CHD, best results may be achieved by combining cardiac surgery with interventional catheterization. The cooperation among interventional cardiologists and cardiac surgeons was highlighted in a report of an algorithm to manage patients with tetralogy of Fallot or pulmonary atresia with diminutive pulmonary arteries, involving balloon dilation, coil embolization of collaterals, and intraoperative stent placement. In this setting, well-planned catheterization procedures have an important role in reducing the overall number of procedures that patients may require over a lifetime, with improved outcomes.
Cardiac rhythm abnormalities in the context of epilepsy are a well-known phenomenon. However, they are under-recognized and often missed. The pathophysiology of these events is unclear. Bradycardia and asystole are preceded by seizure onset suggesting ictal propagation into the cortex impacting cardiac autonomic function, and the insula and amygdala being possible culprits. Sudden unexpected death in epilepsy (SUDEP) refers to the unanticipated death of a patient with epilepsy not related to status epilepticus, trauma, drowning, or suicide. Frequent refractory generalized tonic-clonic seizures, anti-epileptic polytherapy, and prolonged duration of epilepsy are some of the commonly identified risk factors for SUDEP. However, the most consistent risk factor out of these is an increased frequency of generalized tonic-clonic seizures (GTC). Prevention of SUDEP is extremely important in patients with chronic, generalized epilepsy. Since increased frequency of GTCS is the most consistently reported risk factor for SUDEP, effective seizure control is the most important preventive strategy. PMID:27347227
Kirkfeldt, Rikke Esberg; Johansen, Jens Brock; Nohr, Ellen Aagaard;
AIM: To identify risk factors for pneumothorax treated with a chest tube after cardiac pacing device implantation in a population-based cohort.METHODS AND RESULTS: A nationwide cohort study was performed based on data on 28 860 patients from the Danish Pacemaker Register, which included all Danish...... patients who received their first pacemaker (PM) or cardiac resynchronization device from 1997 to 2008. Multiple logistic regression was used to estimate adjusted odds ratios (aOR) with 95% confidence intervals for the association between risk factors and pneumothorax treated with a chest tube. The median...... age was 77 years (25th and 75th percentile: 69-84) and 55% were male (n = 15 785). A total of 190 patients (0.66%) were treated for pneumothorax, which was more often in women [aOR 1.9 (1.4-2.6)], and in patients with age >80 years [aOR 1.4 (1.0-1.9)], a prior history of chronic obstructive pulmonary...
In British Council-managed ELT projects in Chinese universities,Chinese project counterparts areselected from among the English-language teaching staff of the University.They work alongside aBritish Council-recruited lecturer(BCL)in developing whatever it is the project has been set up tocreate:a syllabus,teaching materials,a course,etc.During the lifetime of the project eachcounterpart is sent for a year’s postgraduate training(typically an MA in applied Linguistics)at aBritish university,the rationale being that the combination of training on the job and in the UK willequip them to take over the running of the project and ensure its long-term sustainability.This paperlooks at the staff development of the counterparts prior to their UK training.
The first four months of the operation of British Energy as a privatised nuclear utility are briefly reviewed. Operational and financial performance have been good as exemplified by the figures for power output and financial return. Freedom from government control means that the options open to the company are much wider but the need to meet the expectations of shareholders is a major consideration. Added to this, the competitive nature of the electricity industry means that the cost reduction is important, though this cannot be at the expense of safety. Shareholder expectations make the funding of new nuclear power stations unrealistic at present. Increasingly, however, markets are opening up in the maintenance of existing plant and the decommissioning of older plant. The British Energy Group also has considerable expertise in the design, operation and management of power stations and of acting in a competitive energy market that could be exported. British Energy's International Division is in place to develop this potential. (UK)
The tension observed on the British gas market has raised many worries and questions. The last meeting of the French gas association (AFG) aimed at shading light and at supplying some elements of analysis necessary for the correct understanding of the British gas market problem. The volatility of the spot market, its capacity to adjust the supply and demand and the role of long-term contracts in ensuring the security of supplies were explained and debated by a various panel of high level orators: P.W. Wright (Sheffield univ.), J. Harvard (deputy director, Gas Markets, Dept. of trade and industry), S. Caudron (manager business development, Statoil) and P. Vedrenne (managing director, Gaselys). They also examined the trends chosen by the British government to supply corrective measures. (J.S.)
The thesis analyses the connections between British civil engineers and British imperialism in the period 1880-1914. The thesis works at the intersection of intellectual history, history of technology, and imperial history. The thesis argues that Britain and the Empire should be studied as an......' through which knowledge circulated, people travelled, and through which trust and authority was negotiated. It is furthermore a contribution to the cultural and intellectual history of engineering....... interconnected dynamic unity in which engineers were situated; the geographical and ideological context in which their activities took place. The thesis can be read as a contribution to recent re-conceptualisations of the British Empire as a zone bind together by ‘colonial connections' and ‘imperial networks...
Decision Support Aids (DSAs) have been widely used throughout industry and one (known as Table 7) is available to support British Army Medical Officers (MOs) grade soldiers against the Joint Medical Employment Standards. It is unknown how useful this DSA is in practice. An electronic questionnaire was distributed to British Army MOs working within Defence Primary Care facilities enquiring about MOs views on the usefulness of the DSA. Although the response rate was low, informative data were obtained. Between a half and a third of respondents felt that their judgement was affected in the application of the grading system when there were career implications to the grading MOs felt that the DSA allowed subjectivity in the grading. The results of this research suggest that although minor changes to Table 7 may improve service provision, an improvement in training in the application of Table 7 would be of greater benefit to the quality of occupational health service provision in the British Army.
The UK Minister for Science and Innovation, Ian Pearson MP, recently visited CERN. Ian Pearson, UK Minister for Science and Innovation (back row, third left), in the LHC tunnel with Peter Jenni, ATLAS Spokesperson (back row, centre), John Ellis (back row, third right), Simon Featherstone, UK Ambassador to Switzerland (back row, far left), Keith Mason, Chief Executive of STFC (the UK funding agency) (back row, second from right), and British scientists working at ATLAS.On the 15 April UK Minister for Science and Innovation, Ian Pearson, made his first trip to CERN. The UK is one of the founding Member States of CERN, and the British contingent is one of the largest of any country with around 650 British scientists and a further 250 staff members working here. After an introduction to the facilities by Director-General Robert Aymar, who expressed CERN’s gratitude for UK government support through its Science and Technology Facilitie...
The article’s focus is on how public libraries are affected by structural changes in the wake of the transition to the knowledge society. Their attempts to match the knowledge society are illustrated by processes of sensemaking and sensegiving made in public libraries in Canada, the UK and Denmark....
Everyone is talking about civil society. Perhaps it's the election, and the shock of seeing more voters at the polling booths than anyone had expected. Now David Cameron's idea of a "big society" is being translated into some early policy measures. Does today's debate have anything to do with adult learning? The author believes that the debate…
Gersbach, Hans; Siemers, Lars-H. R.
We examine whether democratic societies can escape poverty traps. Unrestricted agenda setting with simple majority rules fail to educate a society, because education-enhancing redistribution will not occur. We show that a combination of suitable constitutional rules overcomes this impossibility result: rotating agenda setting and agenda repetition in combination with flexible majority rules or with a tax protection rule.
This article approaches the fundamental role which education has in the information society. The continuous evolution of information and communication technologies requires that all citizens have the necessary skills have to use these technologies and to access information for efficient individual functioning in the information society. In this context, the information literacy programmes have a growing importance.
This article examines the view that has long been fashionable in related policies and literature that the establishment of the learning society is a necessary response to changing times. This article suggests that the association between the learning society and current change may be defensible but is limited. The justification of the learning…
Full Text Available This article approaches the fundamental role which education has in the information society. The continuous evolution of information and communication technologies requires that all citizens have the necessary skills have to use these technologies and to access information for efficient individual functioning in the information society. In this context, the information literacy programmes have a growing importance.
Blascovich, J; Brennan, K; Tomaka, J; Kelsey, R M; Hughes, P; Coad, M L; Adlin, R
Relationships between affect intensity and basal, evoked, and perceived cardiac arousal were investigated in 3 experiments. Affect intensity was assessed using Larsen and Diener's (1987) Affect Intensity Measure (AIM). Cardiac arousal was evoked with exercise in the 1st study and with mental arithmetic in the 2nd and 3rd. Perceived cardiac arousal was measured under optimal conditions using a standard heartbeat discrimination procedure. Women as a group scored higher on the AIM. Affect intensity was unrelated to basal or evoked cardiac arousal and was negatively related to perceived cardiac arousal in all 3 studies. Data suggest that affect intensity, although unrelated to actual physiological arousal, is negatively related to the accuracy with which individuals perceive their own arousal. Results are discussed within the context of an expanded arousal-regulation model (Blascovich, 1990). PMID:1494983
Wellens, Hein J. J.; Schwartz, Peter J.; Lindemans, Fred W.; Buxton, Alfred E.; Goldberger, Jeffrey J.; Hohnloser, Stefan H.; Huikuri, Heikki V.; Kaeaeb, Stefan; La Rovere, Maria Teresa; Malik, Marek; Myerburg, Robert J.; Simoons, Maarten L.; Swedberg, Karl; Tijssen, Jan; Voors, Adriaan A.; Wilde, Arthur A.
Sudden cardiac death (SCD) remains a daunting problem. It is a major public health issue for several reasons: from its prevalence (20% of total mortality in the industrialized world) to the devastating psycho-social impact on society and on the families of victims often still in their prime, and it
H.J.J. Wellens (Hein); P.J. Schwartz (Peter); F.W. Lindemans (Fred); A.E. Buxton (Alice); J.J. Goldberger (Jeffrey); S.H. Hohnloser (Stefan); H.V. Huikuri (Heikki); S. Kääb (Stefan); M.T. La Rovere (Maria Teresa); M. Malik (M.); R.J. Myerburg (Robert); M.L. Simoons (Maarten); K. Swedberg (Karl); J.G.P. Tijssen (Jan); A.A. Voors (Adriaan); A.A.M. Wilde (Arthur)
textabstractSudden cardiac death (SCD) remains a daunting problem. It is a major public health issue for several reasons: from its prevalence (20% of total mortality in the industrialized world) to the devastating psycho-social impact on society and on the families of victims often still in their pr
Full Text Available This study sets out to establish conceptual delimitations, more concordant to the theoretical acquisitions with regard to the knowledge society. The author considers it opportune to situate in the center of the definition of the concept of knowledge society the problem of prevalence in the typology of resources. Thus, the knowledge society appears as a form of organization in which scientific knowledge predominates, be that informatics as well. The concordances of essence are discovered through the discerning of the functional relationship knowledge society – global society. In the spectrum of meanings specific to this highway of post-postmodernist configuration of the world, the priorities of the project of the second modernity – the paradigmatic matrix of globalization – are approached. In fact, the study argues in favor of refocusing globalization on the humane, on its distinctive values which substantiate and lend sense to the evolutions of the world. Postreferentiality is the rational expression of humanity coming back to itself.
Simmons, Colin H; Maguire, Dennis E
The Manual of Engineering Drawing has long been recognised as the student and practising engineer's guide to producing engineering drawings that comply with ISO and British Standards. The information in this book is equally applicable to any CAD application or manual drawing. The second edition is fully in line with the requirements of the new British Standard BS8888: 2002, and will help engineers, lecturers and students with the transition to the new standards.BS8888 is fully based on the relevant ISO standards, so this book is also ideal for an international readership. The comprehen
Full Text Available Insurance Corporation of British Columbia (ICBC is a Crown Corporation created by the Provincial Government in 1974 to provide compulsory auto insurance. It is a common-law or tort system with 'add-on' no-fault provisions (medical/rehabilitation and disability benefits. ICBC insures 2 million British Columbia (BC residents and pays out over $2 billion (Cdn. in claims annually. One billion of this is for injury claims. Currently, one percent of these claims are catastrophic losses (paraplegic, quadriplegic, traumatic brain injury with the remainder being non-catastrophic claims. Seventy percent of these non-catastrophic claims are soft tissue (primarily whiplash injuries.
Full Text Available The British and the French differed in both the approach and method adopted in governing their overseas subjects during their colonial enterprise in the nineteenth and twentieth centuries. This had a tremendous impact on the psyche of the colonized and was a determinant factor in shaping the nature of the relationship between the colonizers and colonized before and after independence. Therefore, this paper seeks to juxtapose the colonial behaviour of two colonial powers, French and British, in two major colonies, Algeria and India.
Jane Friesen; Benjamin Cerf Harris; Simon Woodcock
Is expanding the scope for parents to choose among competing schools an effective policy lever for improving the quality of education? What lessons can we take from British Columbia’s experience with greater school choice? In 2002, British Columbia implemented a new policy that makes it easier for parents to opt out of their neighbourhood school. Along with the province’s rich administrative and test score data, the introduction of this “open enrolment” policy provides a rare opportunity to e...
of activation, the European Employment Strategy contributes to the legitimation of British employment policies. By addressing unemployment as a problem of structural labor market barriers, missing incentives and inadequate employability, the European Employment Strategy serves to reinforce the British...
Clement Fiona M
Full Text Available Abstract Background There is variation in cardiac catheterization utilization across jurisdictions. Previous work from Alberta, Canada, showed no evidence of a plateau in the yield of high-risk disease at cardiac catheterization rates as high as 600 per 100,000 population suggesting that the optimal rate is higher. This work aims 1 To determine if a previously demonstrated linear relationship between the yield of high-risk coronary disease and cardiac catheterization rates persists with contemporary data and 2 to explore whether the linear relationship exists in other jurisdictions. Methods Detailed clinical information on all patients undergoing cardiac catheterization in 3 Canadian provinces was available through the Alberta Provincial Project for Outcomes Assessment in Coronary Heart (APPROACH disease and partner initiatives in British Columbia and Nova Scotia. Population rates of catheterization and high-risk coronary disease detection for each health region in these three provinces, and age-adjusted rates produced using direct standardization. A mixed effects regression analysis was performed to assess the relationship between catheterization rate and high-risk coronary disease detection. Results In the contemporary Alberta data, we found a linear relationship between the population catheterization rate and the high-risk yield. Although the yield was slightly less in time period 2 (2002-2006 than in time period 1(1995-2001, there was no statistical evidence of a plateau. The linear relationship between catheterization rate and high-risk yield was similarly demonstrated in British Columbia and Nova Scotia and appears to extend, without a plateau in yield, to rates over 800 procedures per 100,000 population. Conclusions Our study demonstrates a consistent finding, over time and across jurisdictions, of linearly increasing detection of high-risk CAD as population rates of cardiac catheterization increase. This internationally-relevant finding
ANUARIO 2012: CIRUGÍA CARDÍACA EN ADULTOS. LAS REVISTAS DE LAS SOCIEDADES NACIONALES PRESENTAN UNA SELECCIÓN DE LAS INVESTIGACIONES QUE HAN IMPULSADO AVANCES RECIENTES EN CARDIOLOGÍA CLÍNICA / Almanac 2012: Adult cardiac surgery. The National Society Journals present selected research that has driven recent advances in Clinical Cardiology
Full Text Available Resumen Esta revisión abarca las más importantes publicaciones sobre cirugía cardíaca en adultos en los últimos años, incluida la base de la evidencia actual para la revascularización quirúrgica y el uso de la cirugía sin circulación extracorpórea, las arterias mamarias internas bilaterales y la extracción endoscópica de la vena. Se describen los cambios en la cirugía convencional de la válvula aórtica junto a los resultados de los ensayos clínicos y los registros para la implantación de válvula aórtica transcatéter, así como la introducción de métodos novedosos y menos cruentos de la cirugía convencional de reemplazo valvular aórtico. Se considera también la cirugía para la valvulopatía mitral, con énfasis en la cirugía para la insuficiencia mitral degenerativa asintomática. / Abstract This review covers the important publications in adult cardiac surgery in the last few years, including the current evidence base for surgical revascularisation and the use of off-pump surgery, bilateral internal mammary arteries and endoscopic vein harvesting. The changes in conventional aortic valve surgery are described alongside the outcomes of clinical trials and registries for transcatheter aortic valve implantation, and the introduction of less invasive and novel approaches of conventional aortic valve replacement surgery. Surgery for mitral valve disease is also considered, with particular reference to surgery for asymptomatic degenerative mitral regurgitation.
Rasmussen, Hilde Fossan
This MA thesis investigates Norwegian teachers' and students' attitudes toward British English and American English. To the best of my knowledge no previous language studies have been conducted on both of these groups in Norway. British English had traditionally been the variety taught at European schools (Trudgill & Hannah 2008). On the other hand, Norwegians are arguably exposed to more American English than British English in their daily lives. The results show that British English still h...
A normal heartbeat is orchestrated by the stable propagation of an excitation wave that produces an orderly contraction. In contrast, wave turbulence in the ventricles, clinically known as ventricular fibrillation (VF), stops the heart from pumping and is lethal without prompt defibrillation. I review experimental, computational, and theoretical studies that have shed light on complex dynamical phenomena linked to the initiation, maintenance, and control of wave turbulence. I first discuss advances made to understand the precursor state to a reentrant arrhythmia where the refractory period of cardiac tissue becomes spatiotemporally disordered; this is known as an arrhythmogenic tissue substrate. I describe observed patterns of transmembrane voltage and intracellular calcium signaling that can contribute to this substrate, and symmetry breaking instabilities to explain their formation. I then survey mechanisms of wave turbulence and discuss novel methods that exploit electrical pacing stimuli to control precursor patterns and low-energy pulsed electric fields to control turbulence.
António Pedro de Andrade Dores
Full Text Available The recent interest in the sociology of violence has arisen at the same time that western societies are being urged to consider the profound social crisis provoked by global financial turmoil. Social changes demand the evo- lution of sociological practices. The analysis herein proposed, based on the studies of M. Wieviorka, La Violence (2005, and of R. Collins, Violence: A Micro-sociological Theory (2008, concludes that violence is subject to sociological treatments cen- tered on the aggressors, on the struggles for power and on male gender. There is a lack of connection between prac- tical proposals for violence prevention and the sociol- ogy of violence. It is accepted that violence as a subject of study has the potential, as well as the theoretical and social centrality, to promote the debate necessary to bring social theory up to date. This process is more likely to oc- cur in periods of social transformation, when sociology is open to considering subjects that are still taboo in its study of violence, such as the female gender and the state. The rise of the sociology of violence confronts us with a dilemma. We can either collaborate with the construc- tion of a sub discipline that reproduces the limitations and taboos of current social theory, or we can use the fact that violence has become a “hot topic” as an opportunity to open sociology to themes that are taboo in social the- ory (such as the vital and harmonious character of the biological aspects of social mechanisms or the normative aspects of social settings. ResumenEl interés reciente en la sociología de la violencia ha surgido al mismo tiempo que las sociedades occidenta- les están requiriendo considerar la profunda crisis social provocada por la agitación financiera global. Los cambios sociales demandan la evolución de las prácticas socioló- gicas. El análisis aquí expuesto, basado en los estudios de M. Wieviorka, La Violence (2005, and of R. Collins
Noedir A. G. Stolf
Full Text Available OBJECTIVE: Assessment of incidence and behavior of mediastinitis after cardiac transplantation. METHODS: From 1985 to 1999, 214 cardiac transplantations were performed, 12 (5.6% of the transplanted patients developed confirmed mediastinitis. Patient's ages ranged from 42 to 66 years (mean of 52.3±10.0 years and 10 (83.3% patients were males. Seven (58.3% patients showed sternal stability on palpation, 4 (33.3% patients had pleural empyema, and 2 (16.7% patients did not show purulent secretion draining through the wound. RESULTS: Staphylococcus aureus was the infectious agent identified in the wound secretion or in the mediastinum, or both, in 8 (66.7% patients. Staphylococcus epidermidis was identified in 2 (16.7% patients, Enterococcus faecalis in 1 (8.3% patient, and the cause of mediastinitis could not be determined in 1 (8.3% patient. Surgical treatment was performed on an emergency basis, and the extension of the débridement varied with local conditions. In 2 (16.7% patients, we chose to leave the surgical wound open and performed daily dressings with granulated sugar. Total sternal resection was performed in only 1 (8.3% patient. Out of this series, 5 (41.7% patients died, and the causes of death were related to the infection. Autopsy revealed persistence of mediastinitis in 1 (8.3% patient. CONCLUSION: Promptness in diagnosing mediastinitis and precocious surgical drainage have changed the natural evolution of this disease. Nevertheless, observance of the basic precepts of prophylaxis of infection is still the best way to treat mediastinitis.
Jonas S De Jong
Full Text Available Sudden cardiac death remains one of the most prevalent modes of death in industrialized countries, and myocardial ischemia due to thrombotic coronary occlusion is its primary cause. The role of platelets in the occurrence of SCD extends beyond coronary flow impairment by clot formation. Here we review the substances released by platelets during clot formation and their arrhythmic properties. Platelet products are released from three types of platelet granules: dense core granules, alpha-granules, and platelet lysosomes. The physiologic properties of dense granule products are of special interest as a potential source of arrhythmic substances. They are released readily upon activation and contain high concentrations of serotonin, histamine, purines, pyrimidines, and ions such as calcium and magnesium. Potential arrhythmic mechanisms of these substances, e.g. serotonin and high energy phosphates, include induction of coronary constriction, calcium overloading, and induction of delayed after-depolarizations. Alpha-granules produce thromboxanes and other arachidonic acid products with many potential arrhythmic effects mediated by interference with cardiac sodium, calcium and potassium channels. Alpha-granules also contain hundreds of proteins that could potentially serve as ligands to receptors on cardiomyocytes. Lysosomal products probably do not have an important arrhythmic effect. Platelet products and ischemia can induce coronary permeability, thereby enhancing interaction with surrounding cardiomyocytes. Antiplatelet therapy is known to improve survival after myocardial infarction. Although an important part of this effect results from prevention of coronary clot formation, there is evidence to suggest that antiplatelet therapy also induces anti-arrhythmic effects during ischemia by preventing the release of platelet activation products.
Martha M. Rumore
Full Text Available The authors report a case of cardiac arrest in a patient receiving intravenous (IV metoclopramide and review the pertinent literature. A 62-year-old morbidly obese female admitted for a gastric sleeve procedure, developed cardiac arrest within one minute of receiving metoclopramide 10 mg via slow intravenous (IV injection. Bradycardia at 4 beats/min immediately appeared, progressing rapidly to asystole. Chest compressions restored vital function. Electrocardiogram (ECG revealed ST depression indicative of myocardial injury. Following intubation, the patient was transferred to the intensive care unit. Various cardiac dysrrhythmias including supraventricular tachycardia (SVT associated with hypertension and atrial fibrillation occurred. Following IV esmolol and metoprolol, the patient reverted to normal sinus rhythm. Repeat ECGs revealed ST depression resolution without pre-admission changes. Metoclopramide is a non-specific dopamine receptor antagonist. Seven cases of cardiac arrest and one of sinus arrest with metoclopramide were found in the literature. The metoclopramide prescribing information does not list precautions or adverse drug reactions (ADRs related to cardiac arrest. The reaction is not dose related but may relate to the IV administration route. Coronary artery disease was the sole risk factor identified. According to Naranjo, the association was possible. Other reports of cardiac arrest, severe bradycardia, and SVT were reviewed. In one case, five separate IV doses of 10 mg metoclopramide were immediately followed by asystole repeatedly. The mechanism(s underlying metoclopramide’s cardiac arrest-inducing effects is unknown. Structural similarities to procainamide may play a role. In view of eight previous cases of cardiac arrest from metoclopramide having been reported, further elucidation of this ADR and patient monitoring is needed. Our report should alert clinicians to monitor patients and remain diligent in surveillance and
British colonial rule has often been praised for its comparatively benign features, such as its support of local educational development. This study argues that the impact of British educational policies and investments on the supply of schooling in British Africa should not be overstated. Until 194
Frankema, E.H.P.; Waijenburg, van M.
British colonial rule has often been praised for its comparatively benign features, such as its support of local educational development. This study argues that the impact of British educational policies and investments on the supply of schooling in British Africa should not be overstated. Until 194
Li-Ming; Yu; Yong; Xu
Cardiac fibrosis represents an adoptive response in the heart exposed to various stress cues. While resolution of the fibrogenic response heralds normalization of heart function, persistent fibrogenesis is usually associated with progressive loss of heart function and eventually heart failure. Cardiac fibrosis is regulated by a myriad of factors that converge on the transcription of genes encoding extracellular matrix proteins, a process the epigenetic machinery plays a pivotal role. In this minireview, we summarize recent advances regarding the epigenetic regulation of cardiac fibrosis focusing on the role of histone and DNA modifications and non-coding RNAs.
Alali, Jaber; Ramji, Alnoor; Ho, Jin K; Scudamore, Charles H; Erb, Siegfried R; Cheung, Elsie; Kopit, Bina; Bannon, Clare A; Chung, Stephen W; Soos, John G; Buczkowski, Andrezj K; Brooks, Eileen M; Steinbrecher, Urs P; Yoshida, Eric M
BACKGROUND Every centre has contraindications to liver transplantation and declares patients unsuitable for medical or nonmedical reasons. To date, there has been no published review of any centre’s experience. METHODS A retrospective chart review was completed from 1997 to 2001, inclusive of all patients referred for liver transplant to the British Columbia Transplant Society who were declared unsuitable for transplantation, as well as the reasons for unsuitability. RESULTS One hundred fifty patients were considered to be unsuitable for transplantation. During this period, 167 transplants were performed and 737 patients were referred for candidacy. Data were missing on three patients; analysis was performed on the remaining 147. Patients’ ages ranged from 15 to 72 years, and 33.3% were female. The most common primary liver disease was hepatitis C (n=53, 35%), followed by alcoholic liver disease (n=35, 24%) and autoimmune liver diseases (n=23, 16%). Medical contraindications constituted 74 patients (49.0%) and the most common reasons for unsuitability were no need of a liver transplant (29 patients [39%]), exclusion due to hepatoma or extrahepatic malignancy (20 patients [27%]) and multisystem failure (12 patients [16%]). Nonmedical contraindications constituted 73 patients. Failure to meet minimal alcohol criteria comprised the largest group (n=39, 53.4%) followed by inadequate social support (n=12, 16.4%), failure to follow up medical assessment (n=10, 13.7%) and drug abuse (n=6, 8.2%). CONCLUSIONS Although many patients were declined for transplantation, the proportion is relatively small compared with the number of referred patients. Nonmedical reasons, including failure to meet alcohol criteria and lack of social support, remain a significant reason for unsuitability in British Columbia. Community intervention before transplant referral is recommended. PMID:16482235
Modern technical education in British Columbia has been affected by two societal trends: in industry, engineering technology evolved as a discipline to bridge the increasing chasm between the process-oriented skill sets of tradespersons/technicians, and the declarative knowledge focus of engineering; in education, the provincial college and institute system was created to address the need for a new post-secondary credential situated between trades certificates and university degrees. The Applied Science Technologist arguably forms the intersection of these two concepts. Almost forty years after its inception, it is timely to ask if the original model has matured into a distinct occupational category in industry, education, and in the public mind. The thesis proposes three environments, the Formative, Market and Public Domain, respectively. Interviews, surveys and personal experience afforded insights into the dynamics of these domains with respect to a fledgling occupational category, while the socio-philosophical concepts of culture, habitus and social imaginary provide the tools to interpret the findings. The thesis postulates that an emerging occupational category will not only challenge existing cultures and habitus, but that over time it will influence the imaginaries of each domain and society as a whole. Ultimately, the occupational category will be truly successful only when the general public is able to distinguish it from related disciplines. Charles Taylor's writings on multiculturalism are used to discuss identity and recognition of the Applied Science Technologist in each domain while Pierre Bourdieu's perspectives on the existence of habitus and self-proliferating elites form the framework to examine the relationships between technologists and engineers. Taylor's theory of multiple concurrent social imaginaries guides the comparison of divergent expectations among academic, career and vocational instructors at British Columbia's colleges. The thesis
Macdonald, Neil; Chiverrell, Richard; Todd, Beverley; Bowen, James; Lennard, Amy
The last two decades have witnessed some of the most severe droughts experienced within living memory in the UK, but have these droughts really been exceptional? Relatively few instrumental river flow, groundwater or reservoir series extend beyond 50 years in length, with few precipitation series currently available extending over 100 years. These relatively short series present considerable challenges in determining current and future drought risk, with the results affecting society and the economy. This study uses long instrumental precipitation series coupled with the SPI and scPDSi drought indices to reconstruct drought histories from different parts of the British Isles. Existing long precipitation series have been reassessed and several new precipitation series reconstructed (e.g. Carlisle 1757), with eight series now over 200 years in length, and a further thirteen over 150 years, with further sites currently being developed (e.g. Norwich, 1749-; Exeter, 1724-). This study will focuses on the eight longest series, with shorter series used to help explore spatial and temporal variability across British Isles. We show how historical series have improved understanding of severe droughts, by examining past spatial and temporal variability and exploring the climatic drivers responsible. It shows that recent well documented droughts (e.g. 1976; 1996 and 2010) which have shaped both public and water resource managers' perceptions of risk, have historically been exceeded in both severity (e.g. 1781) and duration (e.g. 1798-1810); with the largest droughts often transcending single catchments and affecting regions. Recent droughts are not exceptional when considered within a multi-centennial timescale, with improved understanding of historical events raising concerns in contemporary water resource management.
The translatability of humor is gradually accepted and linguistic humor based on specific features in the phonology, morphology or syntax of particular languages is considered to be the most difficult to translate. This paper is to study the linguistic humor translation of British sitcoms in the light of Skopos theory and explore practical ways of E-C translation of linguistic hu⁃mor.
Provides an overview of the British Library's Initiatives for Access program which uses digital imaging. Highlights include digitization of microfilm, the electronic "Beowulf", electronic photographic viewing system, computer software that uses neural networks and fuzzy matching to provide links to search terms, and international projects. (LRW)
In making his substantive reference of the transportation and storage business of British Gas to the Monopolies and Mergers Commission, the Director General of Gas Supply identified the following principal effects adverse to the public interest: ''The absence of provision for the establishment of an independent undertaking to operate the pipe-line system and other facilities used by British Gas for the conveyance and storage of gas which would not be subject to conflicting interests in securing (a) transparency of the prices charged, the costs incurred and the operating methods in respect of the conveyance and storage of gas; (b) proper allocation to various parts of the Gas Supply Business of costs incurred and returns by that business; and (c) protection of information relating to the conveyance and storage of gas from which British Gas might obtain unfair commercial advantage, and thereby avoid the restriction or distortion of competition between British Gas and other persons whose business consists of or includes the supply of gas''. This paper considers the structural issues associated with achieving effective competition and looks at how the relationship between the businesses of supply and transportation might be organised in the short and longer term. (Author)
Focuses on an early twentieth century journal called "Oversea Education," designed to increase communication among British colonies, particularly for education, based on William Ormsby Gore's travels among the colonies. Describes Frank Ward's editorial work that championed the rights of colonial subjects to have better educational policy. (KDR)
Lee, Yew-Jin; Roth, Wolff-Michael
The purpose of this article is to describe the history of a state-sponsored salmon enhancement project in British Columbia and to explicate the development of the former using cultural historical activity theory. We make thematic the notion of inner contradictions, which express themselves outwardly as a function of both quantitative and…
Higgins, Steve, Ed.; Coffield, Frank, Ed.
In 1916 John Dewey published "Democracy and Education: An introduction to the philosophy of education". In this book some of today's foremost historians, philosophers, psychologists, and sociologists of education mark the anniversary of Dewey's work by reviewing and reflecting, from a British perspective, on Dewey's contribution to our…
Purpose: The purpose of this paper is to review the research evidence on recent British trends in the use of heroin and/or crack-cocaine by young people in order to appraise the scale and nature of the contemporary health problem they pose. Design/methodology/approach: The approach consists of a narrative review of the main current data sources on…
The paper deals with the UK natural gas market and the future for Norwegian gas in the UK. The role of the British Gas in the domestic and European markets is discussed. Topics are: The UK gas supply market; the UK upstream gas market and the Interconnector; the European market, competition and deregulation; the prospects for Norwegian gas
Duncan, Michael J.; Al-Nakeeb, Yahya; Nevill, Alan; Jones, Marc V.
This study assessed the relationship between children's body image and physical activity and examined any variation in these variables. Two hundred and seventy seven British secondary school children aged 11 to 14 (mean age [plus or minus] SD = 12.5 [plus or minus] 0.8 years) participated in this study. Results indicated no significant…
<正>Values are the most important issue in identifying one particular culture.Social values are the feelings people have about what is important,worthwhile,and just.In this paper,the differences between British and American values are discussed in two aspects which mainly lie respectively in the comparisons of values and characteristics in both cultures.
Stobbe, T.; Cotteleer, G.; Kooten, van G.C.
Agricultural land protection near the urban-rural fringe is a goal of many jurisdictions, and none more so than British Columbia, Canada, which uses a provincial-wide zoning scheme to prevent subdivisions and non-agricultural uses of the land. A preferential tax regulation scheme for farmers is also
Presents an informal report of seminar entitled "Learned Journals: The Problem of Pricing and Buying Round," held in London on March 22, 1985, in attempt to answer charges of discriminatory pricing. Price differential of British scholarly journals, costs, marketing, and role of subscription agent are discussed. Seven sources are given. (EJS)
The article reports the construction and testing of a short scale of alienation. The scale is used in a British secondary school to explore associations between the criterion measure and children's self concept of academic ability, self esteem, extraversion, and placement in high/low ability groupings. (Editor)
Around the beginning of the 17th century, the British established in India the supreme headquarters of itsaggression in the east-the East IndiaCompany. In the late 18th century, theybegan their aggression by means of"doing missionary work", "traveling forpleasure", and "seeking trade relations",and started invading Tibet.
Colonial education has been controversial and widely divergent interpretations have been offered from contrasting ideological perspectives. British imperial education policy was highly contended during the colonial era and remains a contentious issue amongst many contemporary historians and a critical review of the historiography of the subject is…
<正>The 2009 China Jingdezhen International Ceramics Fair in October drew a large crowd of visitors from around the world to the capital of porcelain to admire the beautiful displays from various countries.Among them,a 12-member British delegation from the Bath & North East Somerset Council headed by Councilor Francine Haeberling had an additional special reason for their visit.
A study of continuing vocational education in British universities found a variety of organizational approaches and assumptions that continuing education should be mainstreamed and self-financing. Essential elements include leader commitment, specialized units, clear academic identity, and continuous reflective review. (SK)
There has been little published pedagogical research on popular music group rehearsing. This study explores the perceptions of tutors and student pop/rock bands about the rehearsals in which they were involved as a part of their university music course. The participants were 10 tutors and 16 bands from eight British tertiary institutions. Analysis…
Mann, Wolfgang; Marshall, Chloe
This study explores different aspects of the mapping between phonological form and meaning of signs in British Sign Language (BSL) by means of four tasks to measure meaning recognition, form recognition, form recall, and meaning recall. The aim was to investigate whether there is a hierarchy of difficulty for these tasks and, therefore, whether…
Orfanidou, E.; McQueen, J.M.; Adam, R.; Morgan, G.
This study asks how users of British Sign Language (BSL) recognize individual signs in connected sign sequences. We examined whether this is achieved through modality-specific or modality-general segmentation procedures. A modality-specific feature of signed languages is that, during continuous sign
Cole, F H
This paper reports a new radiopaging service supplied by British Telecom that will eventually cover the whole United Kingdom. The use of this service by a three-man practice is described. The service is considered to be a major development in communications that will be of interest to most general practitioners.
Mutimer, D J; Harrison, R F; O'Donnell, K B; Shaw, J; Martin, B A; Atrah, H; Ala, F A; Skidmore, S; Hubscher, S G; Neuberger, J M
Blood donor screening for hepatitis C virus (HCV) antibodies is now routine. Most blood transfusion services recommend that seropositive donors are referred for further investigation. Southern European studies suggest that many asymptomatic seropositive donors have clinically significant liver disease. Seropositive donors in areas of high prevalence may not, however, be representative of British donors. We have prospectively examined the prevalence and severity of HCV infection in a British volunteer blood donor population. During a 14 month period, only 0.35% (999/287,332) of all donors in the West Midlands were anti-HCV (screening assay) positive. Only 5% (52/999) of these were confirmed true seropositive. Nearly 80% (41/52) of seropositive donors were referred to the Queen Elizabeth Hospital Liver Unit for further investigation. Most underwent complete investigation, including liver biopsy. Forty of forty-one donors had biochemical, histological, or virological evidence of persistent viral infection. Histological changes were generally mild and none was cirrhotic. Covertly infected patients had less severe disease than those with an overt risk factor for HCV exposure. In the British Midlands, the prevalence of blood donor seropositivity is low. In contrast with seropositive Southern European donors, the British donor is more likely to belong to an at-risk group for parenteral exposure and is less likely to have severe histological changes. This study highlights the importance of developing locally relevant guidelines for the counselling and investigation of anti-HCV-positive blood donors. PMID:7493294
The third largest electric utility in Canada, B.C. Hydro services over 1.3 million customers in a area containing over 92 per cent of British Columbia's population. B.C. Hydro's mission is to generate, transmit and distribute electricity. This annual report covers the business and financial performance of B.C. Hydro, and financial statistics
Robinson, Amanda L.; Howarth, Emma
Data from the largest study to date of the working practices of British victim support workers (known as Independent Domestic Violence Advisors or IDVAs) are used to provide insight into how "risk judgments" are made in cases of domestic violence. Using data from more than 2,000 victims, this study found a convergence between actuarial data and…
Weller, L. David; McElwee, Gerard
Total Quality Management is being implemented in American and British schools to improve educational outcomes. The 14 points of Deming's quality model and Porter's models of competition and drivers of cost provide a systematic, structured template to promote educational excellence and meet the demands of social, political, and economic forces.…
This thesis examines the process of institutional change in British Columbia’s timber sector. It is composed of a series of essays which highlight the underlying political and economic factors that have shaped past and current reforms. Taking center stage in the analysis, are the resource rents avai
Milton, James; Meara, Paul
Examined the foreign-language-learning abilities of 14- to 15-year olds in Britain, Germany, and Greece. Comparison of results from tests of students' foreign vocabulary knowledge indicated that British students had only one-third to one-half of the foreign language vocabulary knowledge of Greek and German students. They also spent less time…
Reid, Ivan; And Others
Discussed are (1) how public sector higher education poses threats and opportunities for sociology; (2) the effects of budget cuts on various British universities; (3) the retention of courses in a public sector college in spite of the budget cuts; and (4) problems and potentials of strategies for dealing with retrenchment. (RM)
A compilation of data is presented on individual risk obtained from recent British population and mortality statistics. Risk data presented include: risk of death, as a function of age, due to several important natural causes and due to accidents and violence; risk of death as a function of location of accident; and risk of death from various accidental causes. (author)
Coates, Chad O.
Formal education within the English-speaking Caribbean Community (CARICOM) may be traced back to the establishment of Codrington grammar school in Barbados in 1743. After more than two centuries of British colonial rule the educational systems within CARICOM states continue to reflect the academic traditions of their former colonizer. Prior to…
Describes linguistic model known as British Contextualism in the Federal Republic of Germany as a basis for the practical language component in second language teacher training programs. Concept goes beyond orthodox structuralism by adding a level of context. (Author/BK)
Kersen, van J.F.
On the basis of the morphology and stratigraphic positions, the bauxite deposits in Suriname and Demerara (British Guiana) were divided into four main groups, namely: 1. Plateau type bauxite, 2. High-level type bauxite, 3. Medium-level type bauxite, 4. Low-level type bauxite. The age of these deposi
This article surveys the history of compulsory education for soldiers' career advancement in the British army. It begins with an examination of the organizational context before analyzing the rationale, syllabus, teaching and assessment of soldier education. It concludes that for members of the army education organization their self-perception as…
Broersma, Marcel; Graham, Todd
While the newspaper industry is in crisis and less time and resources are available for news gathering, social media turn out to be a convenient and cheap beat for (political) journalism. This paper investigates the use of Twitter as a source for newspaper coverage of the 2010 British and Dutch elec
In 2013 is in de Canadese provincie British Columbia nieuwe familierechtwetgeving in werking getreden: de Family Law Act, met daarin een regeling voor draagmoederschap, meerouderschap en meeroudergezag. Gezien de discussie in Nederland over deze onderwerpen en de instelling van de Staatscommissie He
Walker, Susan P.
In an effort to meet the training needs of the British Columbia (BC) labor force, Open College (OC), in Burnaby, has focused future activities on market-driven, employer-centered training programs utilizing advanced technologies and traditional on-site instructional methods. Designed to ensure that these courses and programs reflect actual labor…
The forest industry is important for the province of British Columbia, Canada. Timber harvest is regulated on a sustained yield basis. Productivity can be increased by enhanced reforestation, stand tending and tree improvement thus reducing the area needed to provide the required amount of wood so t
Filippakou, Ourania; Tapper, Ted
This article explores the emergence and impact of the mission groups in British higher education. The central argument is that given the development of a mass and diversified model of higher education it was inevitable that the higher education institutions would form pressure groups, while increased marketisation and growing inter-institutional…
Asaad, Yousra; Melewar, T. C.; Cohen, Geraldine
This study seeks to extend our knowledge of export market orientation (EMO) in the context of British universities with regard to recruitment of international students. Export marketing remains an area of limited focus in the marketization of higher education literature. The study predominantly follows a quantitative research design using survey…
Radovanović Dragana; Kolak Radmila; Stokić Aleksandar; Radovanović Zoran; Jovanović Gordana
Anesthesiologists are confronted with an increasing population of patients undergoing noncardiac surgery who are at risk for cardiac complications in the perioperative period. Perioperative cardiac complications are responsible for significant mortality and morbidity. The aim of the present study was to determine the incidence of perioperative (operative and postoperative) cardiac complications and correlations between the incidence of perioperative cardiac complications and type of surgical ...
Velissaris, Dimitrios; Karamouzos, Vassilios; Pierrakos, Charalampos; Koniari, Ioanna; Apostolopoulou, Christina; Karanikolas, Menelaos
The aim of the review was to summarize the literature over the last 25 years regarding bicarbonate administration in out-of-hospital cardiac arrest. A PubMed search was conducted using the terms "bicarbonates" and "cardiac arrest", limited to human studies and reviews published in English (or at least with a meaningful abstract in English) in the last 25 years. Clinical and experimental data raised questions regarding the safety and effectiveness of sodium bicarbonate (SB) administration during cardiac arrest. Earlier advanced cardiac life support (ACLS) guidelines recommended routine bicarbonate administration as part of the ACLS algorithm, but recent guidelines no longer recommend its use. The debate in the literature is ongoing, but at the present time, SB administration is only recommended for cardiac arrest related to hypokalemia or overdose of tricyclic antidepressants. Several studies challenge the assumption that bicarbonate administration is beneficial for treatment of acidosis in cardiac arrest. At the present time, there is a trend against using bicarbonates in cardiac arrest, and this trend is supported by guidelines published by professional societies and organizations. PMID:26985247
Mejlgaard, Niels; Bloch, Carter Walter
This paper introduces a special section of Science and Public Policy on science in society in Europe. Based on extensive data collected for the Monitoring Policy and Research Activities on Science in Society in Europe (MASIS) project, contributions to this special section explore pertinent issues...... related to the location, role and responsibility of science across EU member states and associated countries. By developing analytical typologies and classifying countries, the collection of papers provides a novel and detailed picture of Europe. It reveals considerable variation regarding...... the interactions of science and society at the national level, and it offers a platform for international learning. The identification of patterns and trends concerning the place of science in society may also feed into emerging European discussions about ‘responsible research and innovation’....
... Andrews HDSA Researcher Spotlight- Dr. Amber Southwell Advocacy Huntington’s Disease Parity Act Affordable Care Act Social Security ... 08.30.16 HD Support & Care Network and Huntington’s Disease Society of America Partner for Stronger HD ...
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This paper constructs a Good Society Index for 45 African countries, termed the Good African Society Index (GASI). The GASI consists of nine main indexes: (i) economic sustainability, (ii) democracy and freedom, (iii) child well-being, (iv) environment and infrastructure, (v) safety and security, (vi) health and health systems, (vii) integrity and justice, (viii) education, and (xi) social sustainability and social cohesion. Each component is split into four sub-components for a total of 36 i...
Environmental destruction has become an everyday reality in the contemporary world. Major concerns are being put forward regarding the dangers to the environment in general and to human societies in particular, with strong focus currently being put on climate change. Sociology has an important role to play in the analysis of environmental problems. The interaction between nature and society can be analysed through the concept of overdetermination. At the same time, the social construction on ...
Herbert Dawid; Gustav Feichtinger; Joshua R. Goldstein; Veliov, Vladimir M.
Aging organizations - regardless of whether they are firms, faculties, societies, political bodies, teams, or national academies - seek ways to rejuvenate. This paper demonstrates that the best way to keep an organization young is through a mixed strategy of recruiting both young and old, and that, contrary to intuition, recruiting those of middle age is the least effective strategy for maintaining a younger age structure. The aging of learned societies is a problem in many national academies...
Outlining the development of information society in Turkey and in world, this reasearch narrates the general facts and the assesments on those general facts concerning humanity and technology story from the first times of history to our times. In this study; it is struggled to prove where is points the people of our time arrive at by way of comparing information soicety and industrial society.
Peter Jeffrey Collins
Full Text Available This paper focuses on the historical development of ecospirituality, that is, a faith andpractice both generating and informed by an appreciation of environmental concerns,among the Religious Society of Friends (Quakers in Britain. Decisions made within andby such groups are significantly determined by their understanding of the moral andethical character of the environment and their relation to it. This ethical and moralcharacter might derive from a variety of sources; in contemporary concerns for theenvironment it resides primarily in the cultural, economic, and political context ofparticular social phenomena. Quakers, it would seem, are more or less typicalenvironmentalists in so far as their decision either to buy or refrain from buying this orthat item is informed by both moral and religious judgement. The historical trajectory ofQuaker consumption is characterised by a principle, plaining, that has enabled Quakersto frame their environmentalism in a more or less unique way. During the first hundredyears of the movement (1650-1750, Quakers adopted a system of discipline in whichcommittees (local, regional, and national imposed upon the membership a strict regimeof prescriptions and proscriptions. These lists of dos and don’ts, justified by referenceto Biblical and other texts, concerned virtually every aspect of life, and these decisionswere informed by specific environmental sensibilities central to Quaker faith andpractice. From 1750 to 1950, this intense and intrusive discipline, upheld throughgroup-surveillance, diminished. After 1950, the evolution of the group from a disciplinewhich itemised the plain to the internalisation of individual members of the process ofplaining was more or less complete. Discipline was increasingly a matter of selfsurveillance.Contemporary Quakers emphasise efficient and effective dissemination ofinformation, particularly relating to issues such as human rights and the environment.This process contributes
Ishikawa, Norihiko; Watanabe, Go
Recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery offers patients the benefits of minimally invasive surgery, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, which has allowed surgeons to operate endoscopically rather than through a median sternotomy during cardiac surgery. Thus, repairs for structural heart conditions, including mitral valve plasty, atrial septal defect closure, multivessel minimally invasive direct coronary artery bypass grafting (MIDCAB), and totally endoscopic coronary artery bypass graft surgery (CABG), can be totally endoscopic. Robot-assisted cardiac surgery as minimally invasive cardiac surgery is reviewed. PMID:26134073
Rodak, D J
Indications for cardiac pacing continue to expand. Pacing to improve functional capacity, which is now common, relies on careful patient selection and technical improvements, such as complex software algorithms and diagnostic capabilities.
Alan P. Kypson
Full Text Available Traditionally, cardiac surgery has been performed through a median sternotomy, which allows the surgeon generous access to the heart and surrounding great vessels. As a paradigm shift in the size and location of incisions occurs in cardiac surgery, new methods have been developed to allow the surgeon the same amount of dexterity and accessibility to the heart in confined spaces and in a less invasive manner. Initially, long instruments without pivot points were used, however, more recent robotic telemanipulation systems have been applied that allow for improved dexterity, enabling the surgeon to perform cardiac surgery from a distance not previously possible. In this rapidly evolving field, we review the recent history and clinical results of using robotics in cardiac surgery.
Sangster, Jodi Kirsten
Background: Hyperthyroidism has substantial effects on the circulatory system. The cardiac biomarkers NT-proBNP and troponin I (cTNI) have proven useful in identifying cats with myocardial disease but have not been as extensively investigated in hyperthyroidism.Hypothesis: Plasma NT-proBNP and cTNI concentrations are higher in cats with primary cardiac disease than in cats with hyperthyroidism and higher in cats with hyperthyroidism than in healthy control cats.Animals: Twenty-three hyperthyr...
Primary cardiac involvement, which develops as a direct consequence of systemic sclerosis(SSc), may manifest as myocardial damage, fibrosis of the conduction system, pericardial and, less frequently, as valvular disease. In addition, cardiac complications in SSc may develop as a secondary phenomenon due to pulmonary arterial hypertension and kidney pathology. The prevalence of primary cardiac involvement in SSc is variable and difficult to determine because of the diversity of cardiac manifestations, the presence of subclinical periods, the type of diagnostic tools applied, and the diversity of patient populations. When clinically manifested, cardiac involvement is thought to be an important prognostic factor. Profound microvascular disease is a pathognomonic feature of SSc, as both vasospasm and structural alterations are present. Such alterations are thought to predict macrovascular atherosclerosis over time. There are contradictory reports regarding the prevalence of atherosclerosis in SSc. According to some authors, the prevalence of atherosclerosis of the large epicardial coronary arteries is similar to that of the general population, in contrast with other rheumatic diseases such as rheumatoid arthritis and systemic lupus erythematosus. However, the level of inflammation in SSc is inferior. Thus, the atherosclerotic process may not be as aggressive and not easily detectable in smaller studies. Echocardiography(especially tissue Doppler imaging), single-photon emission computed tomography, magnetic resonance imaging and cardiac computed tomography are sensitive techniques for earlier detection of both structural and functional scleroderma-related cardiac pathologies. Screening for subclinical cardiac involvement via modern, sensitive tools provides an opportunity for early diagnosis and treatment, which is of crucial importance for a positive outcome.
Cardiac arrhythmias are a leading cause of death worldwide. Notably, the electrophysiologiy and microstructural requirements for a fatal ventricular arrhythmia remain incompletely understood, thereby the treatment remains largely empirical. Standard antiarrhythmic drug therapy has failed to reduce, and in some instances has increased, the incidence of Sudden Cardiac Death (SCD). Hence, a more complete understanding of the mechanisms that foment a fatal arrhythmia is needed and computational m...
Dafoe, W; Huston, P
Cardiac rehabilitation can reduce mortality and morbidity for patients with many types of cardiac disease cost-effectively, yet is generally underutilized. Rehabilitation is helpful not only for patients who have had a myocardial infarction but also for those with stable angina or congestive heart failure or those who have undergone myocardial revascularization procedures, a heart transplant or heart valve surgery. The beneficial effects of rehabilitation include a reduction in the rate of de...
Schleich, Jean-Marc; Abdulla, Tariq; Summers, Ron; Houyel, Lucile
International audience Accurate knowledge of normal cardiac development is essential for properly understanding the morphogenesis of congenital cardiac malformations that represent the most common congenital anomaly in newborns. The heart is the first organ to function during embryonic development and is fully formed at 8 weeks of gestation. Recent studies stemming from molecular genetics have allowed specification of the role of cellular precursors in the field of heart development. In th...
Shimizu, Ippei; Minamino, Tohru
The heart must continuously pump blood to supply the body with oxygen and nutrients. To maintain the high energy consumption required by this role, the heart is equipped with multiple complex biological systems that allow adaptation to changes of systemic demand. The processes of growth (hypertrophy), angiogenesis, and metabolic plasticity are critically involved in maintenance of cardiac homeostasis. Cardiac hypertrophy is classified as physiological when it is associated with normal cardiac function or as pathological when associated with cardiac dysfunction. Physiological hypertrophy of the heart occurs in response to normal growth of children or during pregnancy, as well as in athletes. In contrast, pathological hypertrophy is induced by factors such as prolonged and abnormal hemodynamic stress, due to hypertension, myocardial infarction etc. Pathological hypertrophy is associated with fibrosis, capillary rarefaction, increased production of pro-inflammatory cytokines, and cellular dysfunction (impairment of signaling, suppression of autophagy, and abnormal cardiomyocyte/non-cardiomyocyte interactions), as well as undesirable epigenetic changes, with these complex responses leading to maladaptive cardiac remodeling and heart failure. This review describes the key molecules and cellular responses involved in physiological/pathological cardiac hypertrophy. PMID:27262674
Full Text Available The heart is not traditionally considered either a target or a site of fibroblast growth factor-21 (FGF21 production. However, recent findings indicate that FGF21 can act as a cardiomyokine; that is, it is produced by cardiac cells at significant levels and acts in an autocrine manner on the heart itself. The heart is sensitive to the effects of FGF21, both systemic and locally generated, owing to the expression in cardiomyocytes of β-Klotho, the key co-receptor known to confer specific responsiveness to FGF21 action. FGF21 has been demonstrated to protect against cardiac hypertrophy, cardiac inflammation, and oxidative stress. FGF21 expression in the heart is induced in response to cardiac insults, such as experimental cardiac hypertrophy and myocardial infarction in rodents, as well as in failing human hearts. Intracellular mechanisms involving PPARα and Sirt1 mediate transcriptional regulation of the FGF21 gene in response to exogenous stimuli. In humans, circulating FGF21 levels are elevated in coronary heart disease and atherosclerosis, and are associated with a higher risk of cardiovascular events in patients with type 2 diabetes. These findings provide new insights into the role of FGF21 in the heart and may offer potential therapeutic strategies for cardiac disease.
Perez Millan, Maria Ines; Lorenti, Alicia
Stem cells are defined by virtue of their functional attributes: absence of tissue specific differentitated markers, capable of proliferation, able to self-maintain the population, able to produce a large number of differentiated, functional progeny, able to regenerate the tissue after injury. Cell therapy is an alternative for the treatment of several diseases, like cardiac diseases (cell cardiomyoplasty). A variety of stem cells could be used for cardiac repair: from cardiac and extracardiac sources. Each cell type has its own profile of advantages, limitations, and practicability issues in specific clinical settings. Differentiation of bone marrow stem cells to cardiomyocyte-like cells have been observed under different culture conditions. The presence of resident cardiac stem cell population capable of differentiation into cardiomyocyte or vascular lineage suggests that these cells could be used for cardiac tissue repair, and represent a great promise for clinical application. Stem cells mobilization by cytokines may also offer a strategy for cardiac regeneration. The use of stem cells (embryonic and adult) may hold the key to replacing cells lost in many devastating diseases. This potential benefit is a major focus for stem cell research.
Zhang, Yiqiang; Mignone, John; MacLellan, W Robb
After decades of believing the heart loses the ability to regenerate soon after birth, numerous studies are now reporting that the adult heart may indeed be capable of regeneration, although the magnitude of new cardiac myocyte formation varies greatly. While this debate has energized the field of cardiac regeneration and led to a dramatic increase in our understanding of cardiac growth and repair, it has left much confusion in the field as to the prospects of regenerating the heart. Studies applying modern techniques of genetic lineage tracing and carbon-14 dating have begun to establish limits on the amount of endogenous regeneration after cardiac injury, but the underlying cellular mechanisms of this regeneration remained unclear. These same studies have also revealed an astonishing capacity for cardiac repair early in life that is largely lost with adult differentiation and maturation. Regardless, this renewed focus on cardiac regeneration as a therapeutic goal holds great promise as a novel strategy to address the leading cause of death in the developed world.
Lund, Marie; Diaz, Lars Jorge; Ranthe, Mattis Flyvholm;
genetic testing for DM1. Information on incident cardiac diseases was obtained from the NPR. We estimated standardized incidence ratios (SIRs) of cardiac disease compared with the background population, overall and according to selected diagnostic subgroups (cardiomyopathy, heart failure, conduction...... disorders, arrhythmias, and device implantation). In the DM cohort, SIR for any cardiac disease was 3.42 [95% confidence interval (CI) 3.01-3.86]; for a cardiac disease belonging to the selected subgroups 6.91 (95% CI: 5.93-8.01) and for other cardiac disease 2.59 (95% CI: 2.03-3.25). For a cardiac disease...... belonging to the selected subgroups, the risk was particularly high in the first year after DM diagnosis [SIR 15.4 (95% CI: 10.9-21.3)] but remained significantly elevated in subsequent years [SIR 6.07 (95% CI: 5.11-7.16]). The risk was higher in young cohort members [e.g. 20-39 years: SIR 18.1 (95% CI: 12...
Thelen, Manfred [Johannes Gutenberg University Hospital, Mainz (Germany); Erbel, Raimund [University Hospital Essen (Germany). Dept. of Cardiology; Kreitner, Karl-Friedrich [Johannes Gutenberg University Hospital, Mainz (Germany). Clinic and Polyclinic for Diagnostic and Interventional Radiology; Barkhausen, Joerg (eds.) [University Hospital Schleswig-Holstein, Luebeck (Germany). Dept. of Radiology and Nuclear Medicine
An excellent atlas on modern diagnostic imaging of the heart Written by an interdisciplinary team of experts, Cardiac Imaging: A Multimodality Approach features an in-depth introduction to all current imaging modalities for the diagnostic assessment of the heart as well as a clinical overview of cardiac diseases and main indications for cardiac imaging. With a particular emphasis on CT and MRI, the first part of the atlas also covers conventional radiography, echocardiography, angiography and nuclear medicine imaging. Leading specialists demonstrate the latest advances in the field, and compare the strengths and weaknesses of each modality. The book's second part features clinical chapters on heart defects, endocarditis, coronary heart disease, cardiomyopathies, myocarditis, cardiac tumors, pericardial diseases, pulmonary vascular diseases, and diseases of the thoracic aorta. The authors address anatomy, pathophysiology, and clinical features, and evaluate the various diagnostic options. Key features: - Highly regarded experts in cardiology and radiology off er image-based teaching of the latest techniques - Readers learn how to decide which modality to use for which indication - Visually highlighted tables and essential points allow for easy navigation through the text - More than 600 outstanding images show up-to-date technology and current imaging protocols Cardiac Imaging: A Multimodality Approach is a must-have desk reference for cardiologists and radiologists in practice, as well as a study guide for residents in both fields. It will also appeal to cardiac surgeons, general practitioners, and medical physicists with a special interest in imaging of the heart. (orig.)
Perkiomaki, Juha S; Ruwald, Anne-Christine; Kutyifa, Valentina;
causes, 108 (63.9%) deemed cardiac, and 61 (36.1%) non-cardiac. In multivariate analysis, increased baseline creatinine was significantly associated with both cardiac and non-cardiac deaths [hazard ratio (HR) 2.97, P ...AIMS: To understand modes of death and factors associated with the risk for cardiac and non-cardiac deaths in patients with cardiac resynchronization therapy with implantable cardioverter-defibrillator (CRT-D) vs. implantable cardioverter-defibrillator (ICD) therapy, which may help clarify...... the action and limitations of cardiac resynchronization therapy (CRT) in relieving myocardial dysfunction. METHODS AND RESULTS: In Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy (MADIT-CRT), during 4 years of follow-up, 169 (9.3%) of 1820 patients died of known...
The Society for Reproductive Endocrinology and Infertility SREI Members-only Forum Home About Us About SREI Vision and Mission ... Fact Sheets and Booklets SREI is an affiliated society to the American Society for Reproductive Medicine . Below ...
Hunt, M E
A female Catholic theologian imagines a just society that does not judge women who decide to undergo an abortion. The Church, practitioners, and the courts must trust that women do make person-enhancing choices about the quality of life. In the last 15 years most progress in securing a woman's right to abortion has been limited to white, well-educated, and middle or upper middle class women. A just society would consider reproductive options a human right. Abortion providers are examples of a move to a just society; they are committed to women's well-being. There are some facts that make one pessimistic about achieving abortion in a just society. The US Supreme Court plans to review important decisions establishing abortion as a civil right. Further, some men insist on suing women who want to make their own reproductive decisions--an anti-choice tactic to wear away women's right to reproductive choice. Bombings of abortion clinics and harassment campaigns by anti-choice groups are common. These behaviors strain pro-choice proponents emotionally, psychically, and spiritually. Their tactics often lead to theologians practicing self-censorship because they fear backlash. Abortion providers also do this. Further, the reaction to AIDS is that sex is bad. Anti-abortion groups use AIDS to further their campaigns, claiming that AIDS is a punishment for sex. Strategies working towards abortion in a just society should be education and persuasion of policymakers and citizens about women's right to choose, since they are the ones most affected by abortion. Moreover, only women can secure their rights to abortion. In a just society, every health maintenance organization, insurance company, and group practice would consider abortion a normal service. A just society provides for the survival needs of the most marginalized.
Siebenmann, C; Rasmussen, P.; Sørensen, H.;
Several techniques assessing cardiac output (Q) during exercise are available. The extent to which the measurements obtained from each respective technique compares to one another, however, is unclear. We quantified Q simultaneously using four methods: the Fick method with blood obtained from...... the right atrium (Q(Fick-M)), Innocor (inert gas rebreathing; Q(Inn)), Physioflow (impedance cardiography; Q(Phys)), and Nexfin (pulse contour analysis; Q(Pulse)) in 12 male subjects during incremental cycling exercise to exhaustion in normoxia and hypoxia (FiO2 = 12%). While all four methods reported...... a progressive increase in Q with exercise intensity, the slopes of the Q/oxygen uptake (VO2) relationship differed by up to 50% between methods in both normoxia [4.9 ± 0.3, 3.9 ± 0.2, 6.0 ± 0.4, 4.8 ± 0.2 L/min per L/min (mean ± SE) for Q(Fick-M), Q(Inn), QP hys and Q(Pulse), respectively; P = 0...
Baker, Graham J.
Historians have regularly acknowledged the significance of religious faith to the eugenics movement in Britain and the USA. However, much of this scholarship suggests a polarised relationship of either conflict or consensus. Where Christian believers participated in the eugenics movement this has been represented as an abandonment of ‘orthodox’ theology, and the impression has been created that eugenics was a secularising force. In contrast, this article explores the impact of religious value...
Vardhanabhuti, Varut; Nicol, Edward; Morgan-Hughes, Gareth; Roobottom, Carl A; Roditi, Giles; Hamilton, Mark C K; Bull, Russell K; Pugliese, Franchesca; Williams, Michelle C; Stirrup, James; Padley, Simon; Taylor, Andrew; Davies, L Ceri; Bury, Roger; Harden, Stephen
Accurate and timely assessment of suspected acute aortic syndrome is crucial in this life-threatening condition. Imaging with CT plays a central role in the diagnosis to allow expedited management. Diagnosis can be made using locally available expertise with optimized scanning parameters, making full use of recent advances in CT technology. Each imaging centre must optimize their protocols to allow accurate diagnosis, to optimize radiation dose and in particular to reduce the risk of false-positive diagnosis that may simulate disease. This document outlines the principles for the acquisition of motion-free imaging of the aorta in this context. PMID:26916280
Full Text Available By 1960, Britain’s once-thriving Music Hall industry was virtually dead. Theatres with their faded notions of Empire gave way to Cinema and the threat of Television. Where thousands once linked arms singing popular songs, watch acrobatics, see feats of strength, and listen to risqué jokes, now the echoes of those acts lay as whispers amongst the stalls’ threadbare seats. The Halls flourished in the 19th Century, but had their origins in the taverns of the 16th and 17th Centuries. Minstrels plied their trade egged on by drunken crowds. As time passed, the notoriety of the Music Hall acts and camaraderie produced grew. Entrepreneurial businessman tapped into this commerciality and had purpose-built status symbol theatres to provide a ‘home’ for acts and punters. With names like The Apollo giving gravitas approaching Olympian ideals, so the owners basked in wealth and glory. The Music Hall became the mass populist entertainment for the population. Every town had one, where everyone could be entertained by variety acts showing off the performers’ skills. The acts varied from singers, joke-tellers, comics, acrobats, to dancers. They all aimed to entertain. They enabled audiences to share a symbiotic relationship with one another; became recruitment officers for the Army; inspired War Poets; showed short films; and they and the halls reflected both the ideals and foibles of their era. By using Raymond Williams’ structures of feeling as its cornerstone, the article will give a brief history of the halls, whilst providing analysis into how they grew into mass populist entertainment that represented British culture. Case studies of famous artistes are given, plus an insight into how Music Hall segued into radio, film and television.
Full Text Available Numerous issues related to culture, occupation, gender, caste, and health, to name a few, have faced harshness of society from time immemorial. Reasons are debatable, ranging from somewhat understandable to completely unacceptable. There is no doubt that society is dynamic and it has changed its view on many of the issues with passing time. Mental health is one such issue which society has neglected for quite a long time. Even today, mental health and mentally ill people face stigma and discrimination in their family, society, and at their workplace. People do not feel comfortable talking about mental health, even if they know that there cannot be any health without a healthy mind. But, as Albert Einstein has said “learn from yesterday, live for today, and hope for tomorrow”, everything is not lost. The mentally ill patients who were once abandoned and left on their own have now started to get humane care and attention. This article discusses this very pertinent topic of changing society and mental health.
Durmuş AKALIN; ÇELİK, Cemil
East Mediterranean is an important and strategic region at theintersection of Asia, Africa and Europe. Many states and societies havebeen inhabiting in Eastern Mediterranean. Ottoman Empire was themost significant country in this area in 19th century and before. Therewas peace and comfort in Eastern Mediterranean with Ottoman rulewhich the most prominant power in the region. But political tusslestarted up because of European (especially British and French) power’sinterest on the area. At the ...
Osmundo Rocha Claudino
Full Text Available The emergence of the information society and the implications for the field of education form the object of analysis of this article, therefore, seeks to outline the profile of the model of informational society, since its main historical precedents to its conceptualization. The characterization of the knowledge society, driven by technological change, highlights the rearrangement of the teaching-learning process from the deterritorialization / virtualization, requiring new practical knowledge of the transaction. We conclude that educate in cyberculture implies recognizing the paradigmatic crisis of the educational system, review postures and understand the technological advances as allies of new practices that expand the role of educator and humanitarian vocation to resize a new habitat.
Full Text Available ttendees will learn about the research and development which will be effected by scientists in the branch of Conscience Society creation in next decades of XXI century. Conscience is usually seen as linked to a morality inherent in all humans, to a beneficent universe and/or to divinity. It is increasingly conceived of as applying to the world as a whole and as a main feature of conscience society. It has motivated its numerous models, characteristics and functions of Conscience for creation the societal intelligent adaptable information systems in Conscience Society. The moral life is a vital part for the world to maintain a Conscience (civilized Society, so always keep in mind to: accept differences in others; respond promptly to others; leave some "free" time; care about others as if they were you; treat everyone similarly; never engage in violent acts; have an inner sense of thankfulness; have a sense of commitment. Creativity is a result of brain activity which differentiates individuals and could ensure an important competitive advantage for persons, for companies, for Society in general, and for Conscience Society in special. Very innovative branches – like software industry, computer industry, car industry – consider creativity as the key of business success. Natural Intelligence’ Creativity can develop basic creative activities, but Artificial Intelligence’ Creativity, and, especially, Conscience Intelligence’ Creativity should be developed and they could be enhanced over the level of Natural Intelligence. The basic idea for present communication represent the research results communicated at the last two annual AESM conferences  .
The UK coalition government has stated its ambition to create a "Big Society". This represents an attempt to alter the relationship between citizen and state, loosening the vertical ties that exist between government and the individual while strengthening the informal bonds of neighbourhoods and communities. This agenda runs through the…
In this review, the author describes the development of British infrared astronomy, from its beginnings around 1960 to the present time. The paper outlines the various techniques available and the different wavelength ranges which can be covered by these techniques e.g. balloons, mountain-based telescopes, the AAT in Australia, the 60-inch flux-collector on Tenerife, and the UKIRT telescope on Hawaii, and finally the IRAS satellite. The main groups involved in the British infrared work are UCL, Imperial College, and QMC, together with cooperative programmes with the Netherlands and the USA. The scientific results which have been obtained with these installations include studies of the relict radiation, HII regions, thermal radiation from dust and grains, and a dust shell around the star Vega, to mention but a few, interferometry, photometry and spectroscopy are also discussed, as in the long awaited development of infrared detector arrays. (UK)
Ensell, R.L.; Stroud, H.J.F.
The British Gas HICOM methanation process (formerly the HCM process) is an efficient, cost-effective way to make SNG from coal-derived gases. Using it with the British Gas/Lurgi slagging gasifier, for example, can yield coal-to-SNG thermal efficiencies of about 70%. In the HICOM process, a methane-rich gas is made directly from the purified gasifier product gas by reaction with steam over a catalyst; the temperature rise is controlled by hot-gas recycling and split-stream operation. The main attributes of this route are that it eliminates the CO-shift stage, has a high thermal efficiency, requires no selective sulfur removal system, minimizes waste liquor treatment, and has a low capital cost.
Kaplan, M. [Emerging Energy Research, Cambridge, MA (United States)
This presentation discussed wind energy developments in British Columbia (BC). There are currently more than 5000 MW of wind power development activities in British Columbia, but only 325 MW of wind power purchase agreements (PPAs). Various renewable portfolio standards and greenhouse gas (GHG) initiatives are now being use to create demand for additional renewable energy development in the northwestern United States. Studies have demonstrated that BC wind export initiatives have the potential to deliver wind power to markets in the Pacific northwest. Canadian transmission export proposals are now examining methods of bringing renewable energy to areas with high load demands. However, the United States has more than 240,000 MW of proposed wind projects for key markets in the northwestern region. It was concluded that activities in United States wind development are now posing a challenge to Canadian wind energy exporters. Various transmission projects in the United States are now looking at developing renewable energy sources close to BC. tabs., figs.
Mohamed S Al-Moamary
Full Text Available Mycobacterium malmoense was first described in northern Europe and the United Kingdom in 1977. Since then, reports have appeared with increasing frequency. Cases have, however, rarely been reported from the United States, and, until now, none have been reported in Canada. This may reflect either true low prevalence of the disease or underdiagnosis by laboratories due to slow growth of the organism. This report describes a case of pulmonary disease caused by M malmoense in a 44-year-old man from British Columbia who was successfully treated with an 18-month course of conventional antituberculous drugs combined with a macrolide. This is the first report of this disease in British Columbia and, to our knowledge, in Canada.
Full Text Available This paper argues that rural regions of British Columbia, Canada, are currently the subject of a radical political-economic experiment dismantling traditional Fordist and Keynesian approaches to economic development and replacing them with neoliberal strategies. This experiment targets both corporate resource economies and local or community-based economies. The paper argues that current reforms aim to enhance flexibility in major resource sectors (particularly in forestry by "liberating" corporate actors from traditional obligations to environment, labour, and communities. This strategy is buttressed by concurrent reforms to community development policies to promote "entrepreneurial" forms of development that (it is assumed can be achieved independently of the dominant resource economy. Using field research from several case communities in coastal British Columbia, the paper argues that these developments are having a strong impact on traditional economic structures and practices, as neoliberal reforms seek to disaggregate corporate and community-level economies.
The arrival of a small group of Polish-Hungarian refugees in Liverpool in 1851 reveals a lot about contemporary political views in the United Kingdom. The refugees were members of General Wysocki's Polish legion, which had fought Russia and Austria during the Hungarian revolution in 1848-49. While British liberals had hailed the nationalist cause from a distance, they were made uneasy by the presence of the refugee republicans with radical ideas. For that reason, British liberals worked with the government to try to send the Hungarian refugees to the United States. On the other hand, tradesmen and artisans in Liverpool - who were drawn to the social democratic ideas of liberty expressed by the revolutionaries of 1848 - organized a successful campaign to grant the refugees asylum.
Alireza Alizadeh Ghavidel
Full Text Available Introduction: Excessive bleeding presents a risk for the patient in cardiovascular surgery. Local haemostatic agents are of great value to reduce bleeding and related complications. TachoSil (Nycomed, Linz, Austria is a sterile, haemostatic agent that consists of an equine collagen patchcoated with human fibrinogen and thrombin. This study evaluated the safety and efficacy of TachoSil compared to conventional technique.Methods: Forty-two patients scheduled for open heart surgeries, were entered to this study from August 2010 to May 2011. After primary haemostatic measures, patients divided in two groups based on surgeon’s judgment. Group A: 20 patients for whom TachoSil was applied and group B: 22 patients that conventional method using Surgicel (13 patients or wait and see method (9 cases, were performed in order to control the bleeding. In group A, 10 patients were male with mean age of 56.95±15.67 years and in group B, 9 cases were male with mean age of 49.95±14.41 years. In case group 70% (14/20 of the surgeries were redo surgeries versus 100% (22/22 in control group.Results: Baseline characteristics were similar in both groups. In TachoSil group 75% of patients required transfusion versus 90.90% in group B (P=0.03.Most transfusions consisted of packed red blood cell; 2±1.13 units in group A versus 3.11±1.44 in group B (P=0.01, however there were no significant differences between two groups regarding the mean total volume of intra and post-operative bleeding. Re-exploration was required in 10% in group A versus 13.63% in group B (P=0.67.Conclusion: TachoSil may act as a superior alternative in different types of cardiac surgery in order to control the bleeding and therefore reducing transfusion requirement.
Full Text Available Minimally invasive and non-invasive methods of estimation of cardiac output (CO were developed to overcome the limitations of invasive nature of pulmonary artery catheterization (PAC and direct Fick method used for the measurement of stroke volume (SV. The important minimally invasive techniques available are: oesophageal Doppler monitoring (ODM, the derivative Fick method (using partial carbon dioxide (CO 2 breathing, transpulmonary thermodilution, lithium indicator dilution, pulse contour and pulse power analysis. Impedance cardiography is probably the only non-invasive technique in true sense. It provides information about haemodynamic status without the risk, cost and skill associated with the other invasive or minimally invasive techniques. It is important to understand what is really being measured and what assumptions and calculations have been incorporated with respect to a monitoring device. Understanding the basic principles of the above techniques as well as their advantages and limitations may be useful. In addition, the clinical validation of new techniques is necessary to convince that these new tools provide reliable measurements. In this review the physics behind the working of ODM, partial CO 2 breathing, transpulmonary thermodilution and lithium dilution techniques are dealt with. The physical and the physiological aspects underlying the pulse contour and pulse power analyses, various pulse contour techniques, their development, advantages and limitations are also covered. The principle of thoracic bioimpedance along with computation of CO from changes in thoracic impedance is explained. The purpose of the review is to help us minimize the dogmatic nature of practice favouring one technique or the other.
Describes the life history of the British Food Journal, its changing editorial team, ownership and editorial focus. The authors have used much wider source material than the archives of the journal, now in its 100th year. The journal was always closely identified with the safety of food, its adulteration and the government’s duty to safeguard the public. The second section reviews the profession and role of the public analyst, in particular the history and development of the Society of Public Analysts. The next and longest section of the monograph is devoted to an interesting examination of food safety, nutrition and food manufacturing issues over the last 100 years. Many of the points raised are illustrated by excerpts from papers written in BFJ and included as Appendices to the monograph. Food irradiation was first raised as a subject in the journal in 1928! Bread and milk as staples in the British diet are looked at in some detail in terms of their ingredients and health properties
Olyanich Andrey Vladimirovich
Full Text Available The aim of the study is to analyze the cognitive and semiotic development of imaginable and axiological parameters (characteristics of the concept sphere of land that are assimilated by the representatives of contemporary British ethnicity, and their reflection in the mentality of the ethnic society. The study is aimed at identifying these characteristics of the investigated concept sphere by using the associative experimental techniques of questioning informants of British origin native residents of the UK, whose origin is a true Anglo-Saxon. The reflections received from informants enabled to represent the concept sphere of land as an agricultural object, the object of work, institutional object, the object of entertainment, the object of aesthetic perception, the object of pragmatic use (object of lease, sale, economic profit extraction. The axiological characteristics were identified: firstly, by linguosemiotic analysis of the linguistic resources which are accumulated in the mental and linguistic fund of an English-speaking ethnic group, keeping in memory the language signs indicating the axiological potential of the sphere; secondly, by means of informants answers to the questionnaire on the evaluation of proverbs. The axiological and cognitive reflection of the concept sphere of land was recorded through the evaluation of epithets, stylistically marked as positive adjectives; evaluative statements semanticizing the state of delight or satisfaction; phraseological units with a positive connotation; paremias.
The role generations play in accepting and shaping digital technologies, and possibly vice versa, is an increasingly relevant issue in contemporary society. For the first time in the academic debate, this volume outlines the theoretical issues and explores some results from empirical researches on the relationship between generations and the media in digital society. The first part of the book deals with the theoretical debate on generations, from Mannheim's to the revisiting of some classical notions shaped by disciplines as history, demography, marketing and sociology. The second part gather
Full Text Available Global economy, the development of information and communication technologies, new customer requirements for the quality of products and services encourages organizations to expand their practices, to make innovations, to use creative solutions and to perform new functions – to take on new roles. In this changing environment together with other organizations we have information institutions – libraries. They serve the society, therefore they have to correspond the society needs (Shera, 1976. Purpose – the purpose of this report is to analyze how changing society can influence the change of libraries roles in it. Design/methodology/approach –– research methodology based on the system and sociocultural systems theories (based on Grenier, 2005 and system approach. The chosen theory to validate the analysis is the generation changing theory. It says that society consists of groups of different age and different life experiences (history, technologies, political events, etc. individuals (Levickaitė, 2010. Marc Prensky (2001 claims that our current society can be divided into two groups. Chosen methods: analysis of scientific literature, synthesis, comparison and summarizing. Findings – The roles of libraries depends upon occurring changes in society. According to Marc Prensky (2001, it is possible to divide society in two groups, which are: the digital world immigrants and the digital word natives. The first group are the people born before the digital world establishment and expansion, they learned to use it at older age, usually at work or during their studies, and often they do not understand the necessity of new technologies in their lives (meaning they would not experience big discomfort without it. The second group, the natives of digital world, are people born after the expansion of information and communication technologies; they are able to see and also enjoy the meaning of using these technologies. It is lead to the library
Anavekar, Nandan S; Bonnichsen, Crystal R; Foley, Thomas A; Morris, Michael F; Martinez, Matthew W; Williamson, Eric E; Glockner, James F; Miller, Dylan V; Breen, Jerome F; Araoz, Philip A
Important features of cardiac masses can be clearly delineated on cardiac computed tomography (CT) imaging. This modality is useful in identifying the presence of a mass, its relationship with cardiac and extracardiac structures, and the features that distinguish one type of mass from another. A multimodality approach to the evaluation of cardiac tumors is advocated, with the use of echocardiography, CT imaging and magnetic resonance imaging as appropriately indicated. In this article, various cardiac masses are described, including pseudotumors and true cardiac neoplasms, and the CT imaging findings that may be useful in distinguishing these rare entities are presented. PMID:20705174
This paper is a first full-scale investigation of social characteristics of 381 leading British businessmen included in Dictionary of Scottish Business Biography through the creation of a systematic database. Two sets of characteristics are explored. One relates to personal circumstances of the businessman such as family tradition, place of birth and of business, social origins, formal education, apprenticeship, and occupational career; the other non-business aspects such as wealth and public...
By analysing the ownership and control structures of 23 Scottish textile companies of national importance this article suggests some hard evidence on the extent to )holm family influence did persist, well into the second half of the twentieth century, in both ownership and control in the British economy. The majority of the companies remained priwiteâ€¢ even in the companies which went public, characteristics of the private company status continued to be dominant Within these organisational f...
Hanson, Kevin Karl.
This thesis provides an analysis of the evolution and prospects of post-1945 British policies regarding multinational European security institutions, particularly the European Union (EU), the Western European Union (WEU), and the North Atlantic Treaty Organization (NATO). Specifically, this thesis analyses the factors behind the Blair government's 1998 proposal to strengthen the European pillar of NATO and endow the EU with a defense dimension. This policy offers certain advantages for Britai...
Jones, Benjamin L; Unsworth, Richard K F
Seagrass ecosystems face widespread threat from reduced water quality, coastal development and poor land use. In recent decades, their distribution has declined rapidly, and in the British Isles, this loss is thought to have been extensive. Given increasing knowledge of how these ecosystems support fisheries production, the understanding of their potential rapid loss, and the difficulty in restoring them, it is vital we develop an understanding of the risks they are under, so that management actions can be developed accordingly. Developing an understanding of their environmental status and condition is therefore critical to their long-term management. This study provided, to our knowledge, the first examination of the environmental health of seagrass meadows around the British Isles. This study used a bioindicator approach and involved collecting data on seagrass density and morphology alongside analysis of leaf biochemistry. Our study provides, to the best of our knowledge, the first strong quantitative evidence that seagrass meadows of the British Isles are mostly in poor condition in comparison with global averages, with tissue nitrogen levels 75% higher than global values. Such poor status places their long-term resilience in doubt. Elemental nutrient concentrations and morphological change suggest conditions of excess nitrogen and probable low light, placing many of the meadows sampled in a perilous state, although others, situated away from human populations were perceived to be healthy. Although some sites were of a high environmental health, all sites were considered at risk from anthropogenic impacts, particularly poor water quality and boating-based disturbances. The findings of this study provide a warning of the need to take action, with respect to water quality and disturbance, to prevent the further loss and degradation of these systems across the British Isles. PMID:26909188
Morton, Gerald Edward
The British Columbia Ministry of Education has been collecting demographic and academic performance information on every student in grades Kindergarten-12 since 1992. The amount of data held by the Ministry and now available for use is considerable: between 50 and 500 data elements have been collected from each of more than 500,000 students annually for the last 15 years. Most school districts also collect additional data on the performance of their students. School District Superintendents, ...
This paper utilises Norbert Elias’s theory of the civilizing process to examine British society’s response to Gypsies and explore the perception of this group as in ‘need of corrective treatment’. It demonstrates how state policies towards Gypsies are presented as improving their welfare but are in fact characterised by ambivalence. It is argued that mechanisms employed with the expressed goal of ‘civilising’ behaviour actually exhibitdecivilising elements in terms of their effect upon Gyps...
Kelly, John Gardner
Scholars maintain that public service activities of non-profit organizations require carefully constructed accountability mechanisms to ensure the public interest is upheld. I interviewed decision makers at public-service-oriented non-profit land trusts in British Columbia, and examined the constitutions and missions of these organizations, to investigate accountability experiences and attitudes in practice; I compared this practical perspective with accountability theory in the literature on...
Despite reductions in mortality rates, breast cancer remains the most common cancer and the second most common cause of cancer death in Canadian women. Organized screening programs have contributed to the decrease in breast cancer mortality by allowing for early diagnosis and treatment. The diagnostic phase following an abnormal screen has implications for patient well-being, clinical practice, and resource management in health care. We present data from British Columbia that show that improv...
The Oxford Handbook of Criminology, edited by Mike MAGUIRE, Rod MORGAN and Robert REINER and justly considered as the reference in the British criminology world because of the enormous knowledge it contains, has no equivalent in the French language. A simple review of the summary gives an idea of the extent of the scientific fields examined, and also by the way, that of the distance that must be covered before French criminology, traditionally dominated by sociology, becomes a « total ...
Abdel-Kader, MG; Luther, R
Purpose – This paper investigates and reports on the management accounting practices in the British food and drinks industry. Design/methodology/approach – The data is generated by a large-scale postal questionnaire which was informed by preliminary interviews. Further interviews were carried out to aid interpretation of the responses. Descriptive statistics on the importance and frequency of use of individual practices provide the basis for discussion. Findings – Direct costing is wi...
<正>This group of essays is written as part of a research project entitled "A Feminist Study of the 20th century British and American Women Writers"（GDUFS211- 1-005）,supported by "211 Project" of Guangdong University of Foreign Studies. Feminist literary criticism gained irreversible momentum in 1960s with the rising of the second-wave feminist movement worldwide.The "gynocritics" advocated by Elaine Showalter draws researchers’ attention to the women’s experiences
Kirby, Lorne T.; Norman, Margaret G.; Applegarth, Derek A.; Hardwick, David F.
With simple microbiologic and fluorescent tests, we detected two cases of classic galactosemia, confirmed by specific enzyme assays, in the first 25 000 newborn infants in British Columbia screened for this disorder. The results were equivocally abnormal for another 31 infants, and a second blood sample was requested from each, either for repeat screening or for enzyme assays. The two infants with galactosemia were in hospital with an undiagnosed acute illness and had only a trace of nongluco...
In this paper I tried to demonstrate that the British films depicting football hooliganism could be viewed as glorifying violence. A considerably great number of scenes and a great amount of time devoted to the presentation of violence, together with the unpunished, painless and heroic aspects of such presentations are just one side of the glorifying coin. The other side is occupied with the deeper meaning of particular scenes or the general overtones of the films which seem to develop a tend...
Sihota, Bharminder Singh
This study examines the provincial government’s decision to expand online gambling services. In particular, the research identifies ways to decrease the problem gambling prevalence rate in British Columbia. Currently, BC has one of the highest problem gambling prevalence rates in Canada. With the increase in online gambling options, and a rise in the weekly deposit limit, the problem gambling prevalence rate could worsen. Using a case study analysis, this capstone looks at the best practices ...