250 research outputs found
Charles Lever, An Irish writer in Italy
A discussion of the influence of Italy on Charles Lever's writing
Ultrasound Guided Placement of Single-Lumen Peripheral Intravenous Catheters in the Internal Jugular Vein
Introduction: The peripheral internal jugular (IJ), also called the “easy IJ,” is an alternative to peripheral venous access reserved for patients with difficult intravenous (IV) access. The procedure involves placing a single-lumen catheter in the IJ vein under ultrasound (US) guidance. As this technique is relatively new, the details regarding the ease of the procedure, how exactly it should be performed, and the safety of the procedure are uncertain. Our primary objective was to determine the success rate for peripheral IJ placement. Secondarily, we evaluated the time needed to complete the procedure and assessed for complications. Methods: This was a prospective, single-center study of US-guided peripheral IJ placement using a 2.5-inch, 18-gauge catheter on a convenience sample of patients with at least two unsuccessful attempts at peripheral IV placement by nursing staff. Peripheral IJ lines were placed by emergency medicine (EM) attending physicians and EM residents who had completed at least five IJ central lines. All physicians who placed lines for the study watched a 15-minute lecture about peripheral IJ technique. A research assistant monitored each line to assess for complications until the patient was discharged. Results: We successfully placed a peripheral IJ in 34 of 35 enrolled patients (97.1%). The median number of attempts required for successful cannulation was one (interquartile range (IQR): 1 to 2). The median time to successful line placement was 3 minutes and 6 seconds (IQR: 59 seconds to 4 minutes and 14 seconds). Two lines failed after placement, and one of the 34 successfully placed peripheral IJ lines (2.9%) had a complication – a local hematoma. There were, however, no arterial punctures or pneumothoraces. Although only eight of 34 lines were placed using sterile attire, there were no line infections. Conclusion: Our research adds to the growing body of evidence supporting US-guided peripheral internal jugular access as a safe and convenient procedure alternative for patients who have difficult IV access
Charles Lever: An Irish Writer in Italy
Victorian Irish novelist Charles Lever spent much of his adult lifeliving in Italy and in the partly Italian city of Trieste, serving asBritish Vice-Consul in La Spezia and later as Consul in Trieste. Heused his experience and knowledge of Italy as the source for manyarticles and as raw material for the Italian sections of his novels. Heis one of the most acute observers of Italian life at the time of theunification of Italy but his experience in il bel paese also played a keyrole in forming his views about the Ireland that continued to be thecentral interest of his fiction
Into the West: Joyce on Aran
The article discusses Joyce's treatment of his visit to the Aran islands in the light of earlier writings on the subject. It looks at the concept of "islanding" as explored in Joyce's works
\u201cJoyce, il Bel Paese and the Italian language\u201d
A discussion of Joyce's immersion in Italian Language and literature
Writing the Frontier. Anthony Trollope between Britain and Ireland
The first book-length exploration of Anthony Trollope's Irish novel
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