179 research outputs found
The Social, Political and Theological Implications of the Prayers of Elizabeth I - Access, Display and Association
Tudor monarchs formed and expressed a metaphor of sovereignty meant to signify their legitimacy as rulers. Elizabeth I expressed that metaphor through her composition and publication of prayers. Transforming medieval symbols, rituals, church and calendar, Elizabeth used her prayers as a mechanism of government and claim to legitimacy
The safety and efficacy of intramuscular xylazine for pain relief in sheep and lambs
Thesis (M.Med.Sc.)--University of Adelaide, Dept. of Anaethesia and Intensive Care, 200
A call centre and extended checklist for pre-screening elective surgical patients – a pilot study
BACKGROUND: Novel approaches to preoperative assessment and management before elective surgery are warranted to ensure that a sustainable high quality service is provided. The benefits of a call centre incorporating an extended preoperative electronic checklist and phone follow-up as an alternative to a clinic attendance were examined. METHODS: This was a pilot study of a new method of patient assessment in patients scheduled for elective non-cardiac surgery and who attended a conventional preoperative clinic. A call centre assessment, using a Computer-assisted Health Assessment by Telephone (CHAT), paper review by an anaesthetist, and a follow-up phone call if the anaesthetist wished more information, preceded the conventional preoperative clinic. Summaries from the call centre and clinic assessments were independently produced. The times spent by call centre staff were recorded. The 'procedural anaesthetist' (who provided anaesthesia for each patient's actual surgery/procedure) documented an opinion on whether the call centre assessment alone would have been sufficient to bypass the preoperative clinic if the patient were hypothetically undergoing laparoscopic cholecystectomy. This opinion was also sought from a panel of four senior anaesthetists, based on patient summaries from both the call centre and preoperative clinic, but expanded to three hypothetical operations of different complexity – cataract removal, laparoscopic cholecystectomy, and total hip replacement. RESULTS: Call centre assessment followed by clinic attendance was studied in 193 patients. The mean time for CHAT was 19.8 (SD 7.5) minutes and, after review of CHAT summaries, anaesthetists telephoned 45.6% of cases for follow-up information. The mean time spent by anaesthetists on summary review and phone calls was 3.8 (SD 3.9) minutes. Procedural anaesthetists considered 89% of the patients under their care suitable to have bypassed the preoperative clinic if they were to have undergone cholecystectomy. The panel of senior anaesthetists judged 95-97% of patients suitable to have bypassed preoperative clinic for cataract surgery, 81-85% for cholecystectomy and 79-82% for hip replacement. CONCLUSIONS: A call centre to pre-screen elective surgical patients might substantially reduce patient numbers attending preoperative anaesthetic assessment clinics. Further studies to assess the quality of such an approach are indicated. TRIAL REGISTRATION: ANZCTR ACTRN12614000199617.Guy Ludbrook, Richard Seglenieks, Shona Osborn, and Cliff Gran
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Categories, Crossroads, Control, Connectedness, Continuity, and Change: A Metaphorical Exploration of COVID-19
Drawing on metaphors as deep cognitive devices, that prefigure important conceptual categories and form the basis for action, we suggest that we are at a crossroads in terms of the implications of Covid-19. One direction, characterized by the metaphor of ‘war’, is about establishing control to ensure continuity (i.e. a ‘normative-normal’). The other direction, based on the metaphor of ‘community’, is concerned with a heightened sense of connectedness, common interests, and shared purpose as a process of significant change (i.e. a ‘new-normal’). We conclude by briefly discussing the implications of these competing metaphor-based, post-crisis views of normality
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Thermal-Hydraulic Analyses Of The LS-VHTR
Thermal-hydraulic analyses were performed to evaluate the safety characteristics of the Liquid-Salt-Cooled Very High-Temperature Reactor (LS-VHTR). A one-dimensional model of the LS-VHTR was developed using the RELAP5-3D computer program. The thermal calculations from the one-dimensional model of a fuel block were benchmarked against a multi-dimensional finite element model. The RELAP5-3D model was used to simulate a transient initiated by loss of forced convection in which the Reactor Vessel Auxiliary Cooling System (RVACS) passively removed decay heat. Parametric calculations were performed to investigate the effects of various parameters, including bypass flow fraction, coolant channel diameter, and the coolant outlet temperature. Additional parametric calculations investigated the effects of an enhanced RVACS design, failure to scram, and radial/axial conduction in the core
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Metaphor in organizational research: Context, modalities and implications for research introduction
We provide a general overview of previous work which has explored the use of metaphors in organizational research. Differences in focus and form of research on metaphors are noted. Work in organization theory (OT) and organizational communication (OC) generally features prescriptive metaphors that aid the practice of theorizing and research; research in organizational development (OD) tends to use metaphors for intervention in individual and group decision-making; while studies of organizational behaviour (OB) emphasize the metaphors-in-use within individuals' sensemaking accounts of critical events within their organization. Alongside these differences in focus, the form of metaphor analysis also differs across these contexts, ranging from text- and discourse-based analysis to the analysis of non-linguistic modalities such as pictorial signs, gestures and artefacts. Based on our overview of previous work, we call for greater attention to methodological issues around metaphor identification and analysis and outline a number of directions for further research
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Re-Imagining Images of Organization: A Conversation With Gareth Morgan
In this article, we review the metaphors presented by Morgan in Images of Organization and highlight how they simultaneously act as “relatively static reflections” (i.e., they provide a history of organization theory) and “relatively dynamic projections” (i.e., stimulating the formulation of further organizational images). We also discuss the potential for new organizational metaphors and consider two specific metaphors (i.e., the “global brain” and “organization as media”). We also challenge the established punctuated metaphorical process (i.e., a transfer from a metaphorical source domain to an organizational target domain), propose a dynamic perspective of interchange (i.e., source domain to target domain to source domain and so on), and develop the notion of multidirectionality (i.e., two-way projections between target and source domains)
Representations of sport in the revolutionary socialist press in Britain, 1988–2012
This paper considers how sport presents a dualism to those on the far left of the political spectrum. A long-standing, passionate debate has existed on the contradictory role played by sport, polarised between those who reject it as a bourgeois capitalist plague and those who argue for its reclamation and reformation. A case study is offered of a political party that has consistently used revolutionary Marxism as the basis for its activity and how this party, the largest in Britain, addresses sport in its publications. The study draws on empirical data to illustrate this debate by reporting findings from three socialist publications. When sport did feature it was often in relation to high profile sporting events with a critical tone adopted and typically focused on issues of commodification, exploitation and alienation of athletes and supporters. However, readers’ letters, printed in the same publications, revealed how this interpretation was not universally accepted, thus illustrating the contradictory nature of sport for those on the far left
Low-carbohydrate diets differing in carbohydrate restriction improve cardiometabolic and anthropometric markers in healthy adults: A randomised clinical trial
Background Low-carbohydrate, high-fat (LCHF) diets are useful for treating a range of health conditions, but there is little research evaluating the degree of carbohydrate restriction on outcome measures. This study compares anthropometric and cardiometabolic outcomes between differing carbohydrate-restricted diets. Objective Our hypothesis was that moderate carbohydrate restriction is easier to maintain and more effective for improving cardiometabolic health markers than greater restriction. Design A total of 77 healthy participants were randomised to a very low-carbohydrate ketogenic diet (VLCKD), low-carbohydrate diet (LCD), or moderate-low carbohydrate diet (MCD), containing 5%, 15% and 25% total energy from carbohydrate, respectively, for 12-weeks. Anthropometric and metabolic health measures were taken at baseline and at 12 weeks. Using ANOVA, both within and between-group outcomes were analysed. Results Of 77 participants, 39 (51%) completed the study. In these completers overall, significant reductions in weight and body mass index occurred ((mean change) 3.7 kg/m2; 95% confidence limits (CL): 3.8, 1.8), along with increases in high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, (0.49 mmol/L; 95% CL; 0.06, 0.92; p = 0.03), and total cholesterol concentrations (0.11 mmol/L; 95% CL; 0.00, 0.23; p = 0.05). Triglyceride (TG) levels were reduced by 0.12 mmol/L (95% CL; −0.20, 0.02; p = 0.02). No significant changes occurred between groups. The largest improvements in high density lipoprotein cholesterol (HDL-c) and TG and anthropometric changes occurred for the VLCKD group. Conclusions Low-carbohydrate, high-fat diets have a positive effect on markers of health. Adherence to the allocation of carbohydrate was more easily achieved in MCD, and LCD groups compared to VLCKD and there were comparable improvements in weight loss and waist circumference and greater improvements in HDL-c and TG with greater carbohydrate restriction
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