THE DEVELOPMENT OF A METHODOLOGY FOR CREATING AN EARTHEN BUILDING INVENTORY

This thesis addresses the issue of cataloguing traditional earthen architecture. It proposes a methodology that will permit the systematic collection and analysis of objective and quantifiable data relating to historic earthen, or cob, buildings in a parish in mid Devon. The brief given for this project requhes a multi-disciplinary approach to be taken, one that considers the topographical surroundings and the historic context of the buildings as well as the architectural characteristics. A triangular concept is expounded, with the three elements providing a sound basis for the development of an holistic methodology for creating an earthen building inventory. To comply with the requirements of the brief, a comprehensive review of a wide range of relevant literature is described. Historic and current literature on the use of earth as a constructional material is considered, as well as literature on landscape history and historic documentation. The rationale is that a broad based understanding of the key elements will guide the selection of data for inclusion in the proposed inventory database. Data included in existing methodologies, devised for inventorying historic buildings, is assessed, and the necessity to develop a methodology to manage cob buildings is evaluated. The selection of the study area, the parish of Sandford, in which to demonstrate the proposed methodology, and the collection of the descriptive and the spatial data relating to the cob buildings is explained in detail. The use of a relational database, linked to a Geographical Information System, to collate the collected data and the results achieved fi"om analysis is fiilly described and discussed. The potential use of the methodology as a powerfiil conservation tool, indicated by the results of case studies undertaken, is also considered. The conclusions drawn are that the developed methodology represents the first systematic study on cob buildings inDevon, and that the important results achieved, and discoveries made, present a distinct and significant contribution to the current knowledge of cob buildings in mid Devon

Multi-causational approach to illness in young children: the role of psychological and social factors

Thesis (M.S.)--Boston Universit

A survey of the medical secretarial programs offered in junior colleges of the United States

Thesis (Ed.M.)--Boston Universit

Outcomes of gallstone disease during pregnancy: a population based data linkage study

Background Gallstone disease is a leading indication for non-obstetric abdominal surgery during pregnancy. There are limited whole population data on maternal and neonatal outcomes. This population-based study aims to describe the outcomes of gallstone disease during pregnancy in an Australian setting. Methods Linked hospital, birth and mortality data for all women with singleton pregnancies in New South Wales, Australia, 2001-2012 were analysed. Exposure of interest was gallstone disease (acute biliary pancreatitis, gallstones with/without cholecystitis). Outcomes including preterm birth (spontaneous and planned), readmission, morbidity and mortality (maternal and neonatal) were compared between pregnancies with and without gallstone disease and within disease subtypes. Adjusted risk ratios (aRRs) and 99% confidence intervals were estimated using modified Poisson regression and adjusted for maternal and pregnancy factors. Results Among 1,064,089 pregnancies, 1882 (0.18%) had gallstone disease. Of these, 239 (12.7%) had an antepartum cholecystectomy and 1643 (87.3%) were managed conservatively. Of those managed conservatively, 319 (19.0%) had a postpartum cholecystectomy. Gallstone disease was associated with increased risk of preterm birth (aRR 1.3, 99% CI 1.1, 1.6) particularly planned preterm birth (aRR 1.6, 99% CI 1.2, 2.1), maternal morbidity (aRR 1.6, 99% CI 1.1, 2.3), maternal readmission (aRR 4.7, 99% CI 4.2, 5.3), and neonatal morbidity (aRR 1.4, 99% CI 1.1, 1.7). Surgery was associated with decreased risk of maternal readmission (aRR 0.4, 99% CI 0.2, 0.7). Conclusions Gallstone disease during pregnancy was associated with adverse maternal and neonatal outcomes. Most women with gallstone disease during pregnancy are managed conservatively. Surgical management was associated with decreased risk of readmission.NHMRC, AR

Single versus two-stent strategies for coronary bifurcation lesions: a systematic review and meta-analysis of randomized trials with long-term follow-up

Background: The majority of coronary bifurcation lesions are treated with a provisional single‐stent strategy rather than an up‐front 2‐stent strategy. This approach is supported by multiple randomized controlled clinical trials with short‐ to medium‐term follow‐up; however, long‐term follow‐up data is evolving from many data sets. Methods and Results: Meta‐analysis of randomized controlled trials evaluating long‐term outcomes (≥1 year) according to treatment strategy for coronary bifurcation lesions. Nine randomized controlled trials with 3265 patients reported long‐term clinical outcomes at mean weighted follow‐up of 3.1±1.8 years. Provisional single stenting was associated with lower all‐cause mortality (2.94% versus 4.23%; risk ratio: 0.69; 95% confidence interval, 0.48–1.00; P=0.049; I2=0). There was no difference in major adverse cardiac events (15.8% versus 15.4%; P=0.79), myocardial infarction (4.8% versus 5.5%; P=0.51), target lesion revascularization (9.3% versus 7.6%; P=0.19), or stent thrombosis (1.8% versus 1.6%; P=0.28) between the groups. Prespecified sensitivity analysis of long‐term mortality at a mean of 4.7 years of follow‐up showed that the provisional single‐stent strategy was associated with reduced all‐cause mortality (3.9% versus 6.2%; risk ratio: 0.63; 95% confidence interval, 0.42–0.97; P=0.036; I2=0). Conclusions: Coronary bifurcation percutaneous coronary intervention using a provisional single‐stent strategy is associated with a reduction in all‐cause mortality at long‐term follow‐up

Shifts in Practice Based on Rapid Re-Housing for Rural Homelessness: An Exploratory Study of Micropolitan Homeless Service Provision

Based on interviews with rural homeless service providers, the authors examine in this practice note how policy has created shifts in practice for organizations serving homeless populations. Homeless individuals find a decreasing opportunity for assistance while awaiting Rapid Re-Housing. Some organizations, dependent on Rapid Re-Housing monies, are facing a lack of funding to pay for general homeless care provision. Organizations are creating care networks to address requirements of the new policy in addition to pooling resources in underserved areas

Arterial access for invasive coronary angiography: the 'left backhander'

No abstract available