2,503 research outputs found
Some Impressions of the Permanent Appellate Judges: 1958â2002
In this article, the late Rt Hon Sir Ivor Richardson provides personal insight into the inner workings of the Court of Appeal and reflections on each of the judges appointed since its inception as a permanent appellate court in 1958 until 2002. Drawing on his vast experience as an advocate, as a judge and as a President of the Court of Appeal, Sir Ivor canvasses the Court as led by various judges: Gresson, North, Turner, McCarthy, Richmond, Woodhouse, Cooke and Sir Ivor himself. Sir Ivor retired as President of the Court of Appeal in 2002 after 25 years in judicial office. He wrote the bulk of the paper that forms this article in 2009, but it remained unfinished at the time of his death in 2014. The paper is reproduced here largely as it was written; only minor edits have been made for clarity
Anthony Angelo and Law Reform in Mauritius
The author, former Professor and Dean of Law at Victoria University of Wellington and President of the Court of Appeal, discusses his experience working a law reform project in Mauritius with Professor Tony Angelo. As the author has experience in income tax reform, the article focuses on Professor Angelo's legislative drafting and policy development in relation to income tax law. Professor Angelo is described as a "one man Law Reform Commission" regarding his role in Mauritius, and discusses the importance of rules relating to technical interpretation and accessibility
A Tribute to Dr George Barton
This address was given by Sir Ivor Richardson on the occasion of the special sitting of the High Court in Wellington on Wednesday 6 July 2011 to honour Dr George Barton QC. 
The Privy Council as the Final Court for the British Empire
After introductory comments on how the Judicial Committee functioned as the final court for the British Empire for over a century, this article discusses a range of highly unusual cases from India, Canada and New Zealand. The aim is to give something of the flavour of the Judicial Committee's work and its impact on local courts. The final section of the paper suggests conclusions that can be drawn from that survey
Legal Problems of Inflation
The article reviews the efforts by Governments, Courts and professional accounting bodies to mitigate the hugely damaging effects of the high inflation of the 1970s and 1980s on the economy and the wider public. The Consumer Price Index brings out that impact recording that in 1990 a New Zealand dollar was worth less than one-eighth its value in 1970
Evaluating Active U: an Internet-mediated physical activity program.
Background:
Engaging in regular physical activity can be challenging, particularly during the winter months. To promote physical activity at the University of Michigan during the winter months, an eight-week Internet-mediated program (Active U) was developed providing participants with an online physical activity log, goal setting, motivational emails, and optional team participation and competition.
Methods:
This study is a program evaluation of Active U. Approximately 47,000 faculty, staff, and graduate students were invited to participate in the online Active U intervention in the winter of 2007. Participants were assigned a physical activity goal and were asked to record each physical activity episode into the activity log for eight weeks. Statistics for program reach, effectiveness, adoption, and implementation were calculated using the Re-Aim framework. Multilevel regression analyses were used to assess the decline in rates of data entry and goal attainment during the program, to assess the likelihood of joining a team by demographic characteristics, to test the association between various predictors and the number of weeks an individual met his or her goal, and to analyze server load.
Results:
Overall, 7,483 individuals registered with the Active U website (â16% of eligible), and 79% participated in the program by logging valid data at least once. Staff members, older participants, and those with a BMI < 25 were more likely to meet their weekly physical activity goals, and average rate of meeting goals was higher among participants who joined a competitive team compared to those who participated individually (IRR = 1.28, P < .001).
Conclusion:
Internet-mediated physical activity interventions that focus on physical activity logging and goal setting while incorporating team competition may help a significant percentage of the target population maintain their physical activity during the winter months
Protocol for the Delirium and Cognitive Impact in Dementia (DECIDE) study: A nested prospective longitudinal cohort study
BACKGROUND:
Delirium is common, affecting at least 20% of older hospital inpatients. It is widely accepted that delirium is associated with dementia but the degree of causation within this relationship is unclear. Previous studies have been limited by incomplete ascertainment of baseline cognition or a lack of prospective delirium assessments. There is an urgent need for an improved understanding of the relationship between delirium and dementia given that delirium prevention may plausibly impact upon dementia prevention. A well-designed, observational study could also answer fundamental questions of major importance to patients and their families regarding outcomes after delirium.
The Delirium and Cognitive Impact in Dementia (DECIDE) study aims to explore the association between delirium and cognitive function over time in older participants. In an existing population based cohort aged 65 years and older, the effect on cognition of an episode of delirium will be measured, independent of baseline cognition and illness severity. The predictive value of clinical parameters including delirium severity, baseline cognition and delirium subtype on cognitive outcomes following an episode of delirium will also be explored.
METHODS:
Over a 12 month period, surviving participants from the Cognitive Function and Ageing Study II-Newcastle will be screened for delirium on admission to hospital. At the point of presentation, baseline characteristics along with a number of disease relevant clinical parameters will be recorded. The progression/resolution of delirium will be monitored. In those with and without delirium, cognitive decline and dementia will be assessed at one year follow-up. We will evaluate the effect of delirium on cognitive function over time along with the predictive value of clinical parameters.
DISCUSSION:
This study will be the first to prospectively elucidate the size of the effect of delirium upon cognitive decline and incident dementia. The results will be used to inform future dementia prevention trials that focus on delirium intervention
Recurrent delirium over 12 months predicts dementia: results of the Delirium and Cognitive Impact in Dementia (DECIDE) study
Background: Delirium is common, distressing and associated with poor outcomes. Previous studies investigating the impact
of delirium on cognitive outcomes have been limited by incomplete ascertainment of baseline cognition or lack of prospective
delirium assessments. This study quantified the association between delirium and cognitive function over time by prospectively
ascertaining delirium in a cohort aged â„ 65 years in whom baseline cognition had previously been established.
Methods: For 12 months, we assessed participants from the Cognitive Function and Ageing Study II-Newcastle for delirium
daily during hospital admissions. At 1-year, we assessed cognitive decline and dementia in those with and without delirium.
We evaluated the effect of delirium (including its duration and number of episodes) on cognitive function over time,
independently of baseline cognition and illness severity.
Results: Eighty two of 205 participants recruited developed delirium in hospital (40%). One-year outcome data were available
for 173 participants: 18 had a new dementia diagnosis, 38 had died. Delirium was associated with cognitive decline (â1.8
Mini-Mental State Examination points [95% CI â3.5 to â0.2]) and an increased risk of new dementia diagnosis at follow
up (OR 8.8 [95% CI 1.9â41.4]). More than one episode and more days with delirium (>5 days) were associated with worse
cognitive outcomes.
Conclusions: Delirium increases risk of future cognitive decline and dementia, independent of illness severity and baseline
cognition, with more episodes associated with worse cognitive outcomes. Given that delirium has been shown to be
preventable in some cases, we propose that delirium is a potentially modifiable risk factor for dementi
Identifying delirium in Parkinson's disease: a pilot study
This is the author accepted manuscript. The final version is avaialble from Wiley via the DOI in this recordData Availability Statement: Unidentifiable data may be shared on request.Introduction
People with Parkinson's disease (PD) may be at increased risk of delirium and associated adverse outcomes. Delirium is an acute neuropsychiatric syndrome defined by confusion and inattention and is common in older adults. Previous studies may have underestimated the prevalence of delirium in PD due to overlapping symptoms, lack of awareness and poorly defined criteria. We aimed to identify the prevalence and incidence of delirium in inpatients with PD.
Measurements
Participants were inpatients with PD admitted over a fourâmonth period. Delirium prevalence was classified using a standardised assessment at a single visit based on the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSMâ5) criteria. To capture remaining time in hospital, incident delirium was diagnosed using detailed clinical vignettes and a validated consensus method.
Results
Fortyâfour PD patients consented to take part in the study, accounting for 53 admissions. Delirium prevalence was 34.0% (n=18); reviewing participants over the duration of their hospital stay identified 30 (56.6%) incident delirium cases. The admitting team screened 24.5% for delirium and delirium was documented in eight (14.8%) cases' medical notes. Cases with delirium were significantly older, had higher frailty scores and a longer hospital stay (p<0.05 for all).
Conclusions
Delirium is common in PD inpatients at admission and incidence increases during hospital stay, but delirium commonly missed. Our results highlight the importance of screening for delirium throughout patients' stay in hospital. Future studies should consider frequent evaluation over the duration of hospital stay to identify emergent delirium during the admission.Newcastle upon Tyne Hospitals NHS Foundation TrustParkinsonâs UKNational Institute for Health Research (NIHR
Low Friction Flows of Liquids at Nanopatterned Interfaces
With the recent important development of microfluidic systems,
miniaturization of flow devices has become a real challenge. Microchannels,
however, are characterized by a large surface to volume ratio, so that surface
properties strongly affect flow resistance in submicrometric devices. We
present here results showing that the concerted effect of wetting . properties
and surface roughness may considerably reduce friction of the fluid past the
boundaries. The slippage of the fluid at the channel boundaries is shown to be
drastically increased by using surfaces that are patterned at the nanometer
scale. This effect occurs in the regime where the surface pattern is partially
dewetted, in the spirit of the 'superhydrophobic' effects that have been
recently discovered at the macroscopic scales. Our results show for the first
time that, in contrast to the common belief, surface friction may be reduced by
surface roughness. They also open the possibility of a controlled realization
of the 'nanobubbles' that have long been suspected to play a role in
interfacial slippag
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