8 research outputs found

    The Mythic Experience: The Audiovisual Spectacle of the Biwa Hoshi Narrative and Performance in Ghost of Tsushima

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    The Mythic Tales side quests in Ghost of Tsushima (2020) explore folkloric and supernatural narratives using the themes from legends and lore surrounding Tsushima Island. However, as a historical video game that reimagines a thirteenth-century medieval Japanese society during the events of the Mongol invasion of Japan in 1274, careful examination of its represented form is necessary since it can tell us how a player is instructed to play with the reimagined past or what about the past is deemed important (Chapman; Balela and Mundy; McCall). Furthermore, the side quests provide a deeper exploration of the game-world setting, which can provide a historical and sociocultural understanding of the represented past through gameplay. In line with this, this paper examines the Mythic Tales experience by exploring the representations of the in-game version of a Japanese traditional performance art called the heikyoku, performed by a medieval storyteller known as the biwa hōshi. This includes a discussion of the tradition and how it translates into a video game format, highlighting the special audiovisual spectacle that relies on familiar Japanese imageries such as the sumi-e and ukiyo-e, which are unique to this part of the game. A case study of one of the Mythic Tales, “The Curse of Uchitsune,” will serve as critical analysis toward the kind of in-game mythic narrative and experience the game provides

    The Mythic Experience: The Audiovisual Spectacle of the Biwa Hoshi Narrative and Performance in Ghost of Tsushima

    Get PDF
    The Mythic Tales side quests in Ghost of Tsushima (2020) explore folkloric and supernatural narratives using the themes from legends and lore surrounding Tsushima Island. However, as a historical video game that reimagines a thirteenth-century medieval Japanese society during the events of the Mongol invasion of Japan in 1274, careful examination of its represented form is necessary since it can tell us how a player is instructed to play with the reimagined past or what about the past is deemed important (Chapman; Balela and Mundy; McCall). Furthermore, the side quests provide a deeper exploration of the game-world setting, which can provide a historical and sociocultural understanding of the represented past through gameplay. In line with this, this paper examines the Mythic Tales experience by exploring the representations of the in-game version of a Japanese traditional performance art called the heikyoku, performed by a medieval storyteller known as the biwa hoshi. This includes a discussion of the tradition and how it translates into a video game format, highlighting the special audiovisual spectacle that relies on familiar Japanese imageries such as the sumi-e and ukiyo-e, which are unique to this part of the game. A case study of one of the Mythic Tales, “The Curse of Uchitsune,” will serve as critical analysis toward the kind of in-game mythic narrative and experience the game provides

    Surgical admissions to intensive therapy unit at Mater Dei Hospital : a prospective 3 month study

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    Introduction: Patient care in an acute hospital is divided into 4 levels, with level 0 being least demanding and level 3 comprising intensive care. A surgical high dependency unit (HDU) offers level 2 (intermediate) care and is indispensable when escalating or de-escalating from lower or higher levels of care respectively. Mater Dei Hospital lacks such a unit. -- Methods: Data was prospectively collected over a 3-month period and included all surgical patients admitted to the intensive therapy unit (ITU), including subspecialties. The duration and reasons for admission to hospital and ITU were documented. Hospital admissions were either planned or emergency. Reasons for ITU admission were either planned or unplanned after elective surgery, following emergency surgery, directly from the Emergency Department or following clinical deterioration in a level 0 ward. Number of organs supported, any surgical interventions during admission and the final outcome were noted. -- Results: There were 173 surgical patients admitted to ITU (116 males) with mean age 61.2 years. Most were post-surgery (71.7%, n=124) or after being stabilised at the Emergency Department (21.4%, n=37). Fewer required escalation from normal ward-based care (6.94%, n=12). Transfers from other hospitals occupied 3 ITU beds (1.73%). Mean ITU stay was 3.4 days per patient, with 6.5 beds being occupied by surgical cases on a daily basis. Forty-one percent of patients met the criteria for HDU. -- Conclusion: With an ever growing population, there is a need to set up a local surgical HDU. This will help relieve the recurrent shortage of ITU beds without compromising the level of healthcare delivered.peer-reviewe

    Glycosylated haemoglobin (HbA1c) and cortisol levels on admission to intensive care as predictors of outcome

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    Objective: To evaluate the predictive value of glycosylated haemoglobin and cortisol on admission, in critical care patients. Design: Prospective, observational, single centre study. Setting: 14 bedded Intensive care unit of a tertiary-level university hospital. Patients: 124 consecutive emergency medical and surgical patients. Methods: Data collected on admission included patient demographics, medical history, medication, diagnosis, type of nutrition, TISS28 score, serum blood glucose, Glycosylated haemoglobin (HbA1c), cortisol, mean arterial blood pressure, and the use of inotropes in the first 24hrs. Daily baseline tests included complete blood count, urea and electrolytes, creatinine, twice weekly liver function tests. The primary outcome measure was intensive care unit mortality. Secondary outcome measures were ITU stay, days of ventilation, peak urea, peak creatinine, lowest platelet count, peak bilirubin, lowest Pa/FiO2, and the number of transfusions. Measurements and results: 124 patients (mean age 56.2 years SD 23.2) were included. Regression analysis was used to identify any potential predictors of outcome: HbA1c levels on admission were not found to be significantly associated with mortality (p=0.51), or any other secondary endpoints listed above. However, subgroup analysis revealed a predictive role of HbA1c with regards to length of ITU stay (p= 0.01) and number of days of ventilation (p=0.007) in those patients with a history of diabetes. Glucose level on admission emerged as an independent marker of mortality (p=0.009). Conclusions: This study suggests that HbA1c may not be a predictor of outcome in the general ITU population but may be of predictive value in diabetic ITU patients. On the other hand, blood glucose levels on admission emerged as a predictor of mortality, whilst no association was found between HbA1c and cortisol levels on admission.peer-reviewe

    The European Board of Anaesthesiology recommendations for safe medication practice : First update

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    These European Board of Anaesthesiology (EBA) recommendations for safe medication practice replace the first edition of the EBA recommendations published in 2011. They were updated because evidence from critical incident reporting systems continues to show that medication errors remain a major safety issue in anaesthesia, intensive care, emergency medicine and pain medicine, and there is an ongoing need for relevant up-to-date clinical guidance for practising anaesthesiologists. The recommendations are based on evidence wherever possible, with a focus on patient safety, and are primarily aimed at anaesthesiologists practising in Europe, although many will be applicable elsewhere. They emphasise the importance of correct labelling practice and the value of incident reporting so that lessons can be learned, risks reduced and a safety culture developed
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