1,994 research outputs found
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 singleâstent strategy rather than an upâfront 2âstent strategy. This approach is supported by multiple randomized controlled clinical trials with shortâ to mediumâterm followâup; however, longâterm followâup data is evolving from many data sets.
Methods and Results:
Metaâanalysis of randomized controlled trials evaluating longâterm outcomes (â„1 year) according to treatment strategy for coronary bifurcation lesions. Nine randomized controlled trials with 3265 patients reported longâterm clinical outcomes at mean weighted followâup of 3.1±1.8 years. Provisional single stenting was associated with lower allâcause mortality (2.94% versus 4.23%; risk ratio: 0.69; 95% confidence interval, 0.48â1.00; 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 longâterm mortality at a mean of 4.7 years of followâup showed that the provisional singleâstent strategy was associated with reduced allâcause mortality (3.9% versus 6.2%; risk ratio: 0.63; 95% confidence interval, 0.42â0.97; P=0.036; I2=0).
Conclusions:
Coronary bifurcation percutaneous coronary intervention using a provisional singleâstent strategy is associated with a reduction in allâcause mortality at longâterm followâup
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
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