Background and design of a qualitative study on globally responsible decision-making in civil engineering

Organizations that regulate civil engineering have been pressing for integration of 'global responsibility' into higher education curricula since around 2006, with a goal of achieving environmental sustainability and social justice. In an effort led by the American Society of Civil Engineers (ASCE, 2007, 2009), a global vision for civil engineering was identified. Within the UK, the Institution of Civil Engineers (ICE) has been leading the way alongside non-governmental organizations (Bourn & Neal, 2008). Via the in-progress study reported here, a UK-based research team is now studying the effects of ACSE and ICE initiatives. The team seeks to benchmark how global responsibility is perceived and enacted in civil engineering in the UK today and how engineering graduates have learned about and experienced globally responsible decision-making. Findings will hold value for the global community, as achieving sustainability is crucial to humanity, and indeed all life on Earth

Background and design of a qualitative study on globally responsible decision-making in civil engineering

Organizations that regulate civil engineering have been pressing for integration of 'global responsibility' into higher education curricula since around 2006, with a goal of achieving environmental sustainability and social justice. In an effort led by the American Society of Civil Engineers (ASCE, 2007, 2009), a global vision for civil engineering was identified. Within the UK, the Institution of Civil Engineers (ICE) has been leading the way alongside non-governmental organizations (Bourn & Neal, 2008). Via the in-progress study reported here, a UK-based research team is now studying the effects of ACSE and ICE initiatives. The team seeks to benchmark how global responsibility is perceived and enacted in civil engineering in the UK today and how engineering graduates have learned about and experienced globally responsible decision-making. Findings will hold value for the global community, as achieving sustainability is crucial to humanity, and indeed all life on Earth

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Driving and 'passengering': notes on the ordinary organization of car travel

We spend ever-increasing periods of our lives travelling in cars, yet quite what it is we do while travelling, aside from driving the vehicle itself, is largely overlooked. Drawing on analyses of video records of a series of quite ordinary episodes of car travel, in this paper we begin to document what happens during car journeys. The material concentrates on situations where people are travelling together in order to examine how social units such as families or relationships such as colleagues or friends are re-assembled and re-organised in the small-scale spaces that are car interiors. Particular attention is paid to the forms of conversation occurring during car journeys and the manner in which they are complicated by seating and visibility arrangements. Finally, the paper touches upon the unusual form of hospitality which emerges in car-sharing