On the Roots of Undiscipline

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Controlling the Discipline: Education, Intention, Assumption, Prejudice

This paper explores, from a philosophical and speculative rather than empirical perspective, and within the design disciplines in general, the complex relationships, between practice and education, and their respective assumptions and prejudices. The paper begins by characterising design education from three perspectives: first, education 'about' the discipline, in the sense of providing information that explicates the general disciplinary ‘content’ and focus; second, education 'for' the discipline, which usually accords to notions of training; and third, education as the ‘instilling’ of discipline itself, the elucidation and establishment of rigour and control. It then explores the nature of disciplinary 'for practice' education and sets out the extensive range of presumptions which often underlies the relationship between education and practice. Examining the current relationship between disciplinary education and tertiary studies, the paper looks at critical inquiry and disciplinary research, before focusing on competing institutional values and their operational and material consequences. The paper concludes with the example of architectural education's response to the demise of modernism, and at the lessons that might be learned from such educational change. Keywords: design education; design philosophy; ideology; training; disciplinarity</p

Two Degrees: The Built Environment and Our Changing Climate

McGregor, Alisdair, Roberts, Cole &amp; Cousins, Fiona, Abingdon: Routledge, 2013, ISBN 978-00415-69300-4 (paperback, i – xviii, 1- 258 pages), USD 54.95 (hard cover 170.00, e-Book 54.95), GBP 34.99 (hard cover 105.00, e-Book 34.99

Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.

BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden

Two Degrees: The Built Environment and Our Changing Climate

McGregor, Alisdair, Roberts, Cole &amp; Cousins, Fiona, Abingdon: Routledge, 2013, ISBN 978-00415-69300-4 (paperback, i – xviii, 1- 258 pages), USD 54.95 (hard cover 170.00, e-Book 54.95), GBP 34.99 (hard cover 105.00, e-Book 34.99)</p