61 research outputs found

    This Other Eden: Exploring a Sense of Place in Twentieth-Century Reconstructions of Australian Childhoods

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    This thesis explores the sense of place formed during childhood, as remembered by adult Australians who reconstruct their youth through various forms of life writing. While Australian writers do utilize traditional tropes of Western autobiography, such as the mythology of Eden and the Wordsworthian image of the child communing with Nature, these themes are frequently transformed to meet a uniquely Australian context. Isolation and distance from Europe, and the apparent indifference of our landscape towards white settlement, have received much critical attention in Australian studies generally and, indeed, broadly influence the formation of children’s sense of place across the continent. However, writers are also concerned with the role of place on a more local level. Through a comparison of writing from Western Australia, Queensland and Victoria, this thesis explores regional landscape preoccupations that create an awareness of local identity, variously contributing to or frustrating the child’s sense of belonging. Western Australian writing is dominated by images of isolation, the fragility of white settlement in a dry land lacking fresh water, and a pervasive beach culture. A strong sense of the littoral pervades writing from this region. Queensland’s frontier mythology is of a different flavour: warm and tropical, nature here is exuberant, constantly threatening to overwhelm culture, already perceived as transient due to the flimsy aspect of the “Queenslander” house. Writing from Victoria, to some extent, tends to more closely follow English models, juxtaposing country and city environments, although there is a distinctly local flavour to many representations of urban Melbourne and its flat, grid-like organization. As Australian society becomes more concentrated on the coastal fringe, the beach is an increasingly significant environment. Though more prominent in writing from some regions than others, coastal imagery broadly reflects the modern Australian’s sense of inhabiting a liminal zone with negotiable boundaries

    Displasia ventricular direita arritmogĂȘnica: diagnĂłstico, prognĂłstico e tratamento

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    Descritas as caracterĂ­sticas anĂĄtomo-clinicas da displasia ventricular direita arritmogĂȘnica e discutidos os mĂ©todos diagnĂłsticos e terapĂȘuticos, Ă© apresentada a SĂ©rie de Maastricht constituĂ­da de 14 pacientes, com os dados clĂ­nicos, diagnĂłsticos e terapĂȘuticos num tempo mĂ©dio de 4.2 anos de acompanhamento

    A challenging lead endocarditis

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    To operate or not on elderly patients with aortic stenosis: the decision and its consequences

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    Objective-To evaluate the application of guidelines in the decision making process leading to medical or surgical treatment for aortic stenosis in elderly; patients. Design-Cohort analysis based on a prospective inclusive registry. Setting-205 consecutive patients (greater than or equal to 70 years) with clinically relevant isolated aortic stenosis and without serious comorbidity, seen for the first time in the Doppler-echocardiographic laboratories of three university hospitals in the Netherlands. Results-The initial choice was surgery in 94 patients and medical treatment in 111. Only 59% of the patients who should have had valve replacement according to the practice guidelines were actually offered surgical treatment. These were mainly symptomatic patients under 80 years of age with a high gradient. Operative mortality (30 days) was only 2%. The three year survival was 80% in the surgical group (17 deaths among 94 patients) and 49% in the medical group (43/111). Multivariate analysis showed that only patients with a high baseline risk, mainly determined by impaired left ventricular function, had a significantly better three year survival with surgical treatment than with medical treatment. Conclusions-In daily practice, elderly patients with clinically relevant symptomatic aortic stenosis are often denied surgical treatment. This study indicates that a surgical approach, especially where there is impaired systolic left ventricular function, is associated with better survival
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