619 research outputs found
Wholesome milk and strong meat: Peter Canisius's catechisms and the conversion of Protestant Britain
AbstractThis article examines the vernacular translations of the famous catechisms prepared by the Dutch Jesuit Peter Canisius which circulated in sixteenth- and seventeenth-century Britain. The various editions and adaptations of Canisius produced for English, Scottish, Welsh and Irish readers are texts in which anti-Protestant identity formation converges with the task of basic indoctrination. These include Laurence Vauxâs popular catechism of 1567, the traditionalist character of which is reassessed. Shedding light on the reception and domestication of the literature of the European Counter Reformation, these books illustrate how catechesis was revived and harnessed as a clerical tool for cultivating polemical resistance and as a device for inculcating saving knowledge and redeeming piety in those young in faith as well as in years. Recusant clergy, seminary priests and Jesuits tackled the task of restoring England to its traditional allegiance to Rome as if they were planting the faith in a pagan land and they utilised the same techniques and strategies as their colleagues in the newly discovered world. A study of Canisiusâs catechisms highlights the fluid boundary between conversion and reconciliation in contemporary minds; illuminates the intertwining of the histories of evangelical mission and confessionalisation in the context of the British Isles; and helps to reintegrate minority Catholic communities back into our picture of the global movement for religious outreach and renewal.</jats:p
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Early in-bed cycling versus usual care in the ICU on muscle atrophy and mobility: A randomized trial
Eleanor Davies and the New Jerusalem
Eleanor Davies was a great believer in historical moments. In her first workâA Warning to the Dragon and All His Angels of 1625-she told readers that âThe Lord is at the Dore.â1 This immanence of God made her watchful and purposeful, reading the signs in her daily life, counting days, weeks, and years because she believed that Christ would come again. His arrival had been predestined from the beginning of the world: âfrom the going forth of the Commandement, which is the beginning of the Creation to the building of the New Jerusalem, the second comming of Messiah, the Prince the Sonne of God, it shall be Seaven Weekes or Seaven Moneths.â2 For Davies, time was elastic, but history was absolute. What the biblical prophets (in this case Ezekiel) said would come to pass, really would come to pass, but their promises were oracular; they had complete authority but were also elusive. Davies accepted this. She knew that she was living in the latter days, but when it came to Godâs final judgment, âthe daye and houre knoweth no man.â3 God could not be known as such and what she called knowledge was a spiritual transformation that took place when âHe powreth out his Spirit upon his hand-maidens,â like herself.4 This essay uses A Warning to the Dragon and Daviesâ works of the 1630s and 1640s to examine her theology
The golden circle: A way of arguing and acting about technology in the London ambulance service
This paper analyses the way in which the London Ambulance Service recovered from the events of October 1992, when it implemented a computer-aided despatch system (LASCAD) that remained in service for less than two weeks. It examines the enactment of a programme of long-term organizational change, focusing on the implementation of an alternative computer system in 1996. The analysis in this paper is informed by actor-network theory, both by an early statement of this approach developed by Callon in the sociology of translation, and also by concepts and ideas from Latourâs more recent restatement of his own position. The paper examines how alternative interests emerged and were stabilized over time, in a way of arguing and acting among key players in the change programme, christened the Golden Circle. The story traces four years in the history of the London Ambulance Service, from the aftermath of October 1992 through the birth of the Golden Circle to the achievement of National Health Service (NHS) trust status. LASCAD was the beginning of the story, this is the middle, an end lies in the future, when the remaining elements of the change programme are enacted beyond the Golden Circle
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Critical Care Cycling Study (CYCLIST) trial protocol: a randomised controlled trial of usual care plus additional in-bed cycling sessions versus usual care in the critically ill
Introduction
In-bed cycling with patients with critical illness has been shown to be safe and feasible, and improves physical function outcomes at hospital discharge. The effects of early in-bed cycling on reducing the rate of skeletal muscle atrophy, and associations with physical and cognitive function are unknown.
Methods and analysis
A single-centre randomised controlled trial in a mixed medical-surgical intensive care unit (ICU) will be conducted. Adult patients (n=68) who are expected to be mechanically ventilated for more than 48 hours and remain in ICU for a further 48 hours from recruitment will be randomly allocated into either (1) a usual care group or (2) a group that receives usual care and additional in-bed cycling sessions. The primary outcome is change in rectus femoris cross-sectional area at day 10 in comparison to baseline measured by blinded assessors. Secondary outcome measures include muscle strength, incidence of ICU-acquired weakness, handgrip strength, time to achieve functional milestones (sitting out of bed, walking), Functional Status Score in ICU, ICU Mobility Scale, 6 min walk test 1week postICU discharge, incidence of delirium and quality of life (EuroQol Five Dimensions questionnaire Five Levels scale). Quality of life assessments will be conducted post-ICU admission at day 10, 3 and 6 months after acute hospital discharge. Participants in the intervention group will complete an acceptability of intervention questionnaire.
Ethics and dissemination
Appropriate ethical approval from Metro South Health Human Research Ethics Committee has been attained. Results will be published in peer-reviewed publications and presented at scientific conferences to assist planning of future multicentre randomised controlled trials (if indicated) that will test in-bed cycling as an intervention to improve the physical, cognitive and health-related quality of life outcomes of patients with critical illness
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In-bed Cycling with Critically Ill Patients: Practical Lessons From a Randomised Trial
Introduction: In-bed cycling for critically ill patients is a rehabilitative exercise that may help improve patientsâ functional status at hospital discharge. In-bed cycling is not currently implemented early during a patientsâ critical illness. Objectives: To identify if early in-bed cycling could be safely implemented following a patientsâ admission to ICU and to identify the barriers and facilitators to implementation of in-bed cycling within ICU. Methods: A randomised controlled trial comparing usual care physio-therapy with additional in-bed cycling within a tertiary mixed medical, surgical, trauma ICU was conducted. Number of sessions of in-bed cycling planned, conducted, distance and duration cycled, haemodynamic parameters and occurrence of pre-defined adverse events were recorded. A diary of intervention implementation processes and outcomes was kept to identify barriers and facilitators to implementation of in-bed cycling. Results: Thirty-seven participants completed 276 of 304 (90.8%) planned in-bed cycling interventions. Participants completed a median (IQR) of 6 (4,8) in-bed cycling sessions. Participants commenced in-bed cycling a median (IQR) of 2.3 (1.8,3.1) days following ICU admission. Participants cycled a mean (SD) 27.7 (5.2) minutes per session and mean (SD) 3.23km (1.63km) per session and maintained haemodynamic stability. Two minor adverse events (0.7% of sessions) occurred that required clinician intervention (increased respiratory rate and oxygen desaturation). These events required adjustment to ventilator settings without any long-term consequences. The main barriers to the implementation of in-bed cycling sessions were patient fatigue (n = 9), delirium (n = 5) and haemodynamic instability (n = 4). Timing of initiation of the intervention following morning chest x-ray round with independent implementation by a physiotherapist were identified as the main facilitators to the in-bed cycling intervention. Conclusions: In-bed cycling commencing within 2 to 3 days of a patientsâ ICU admission was both safe and feasible. Adverse events were rare and the main barrier to implementation of in-bed cycling sessions was patient fatigue.<br/
Actors and networks or agents and structures: towards a realist view of information systems
Actor-network theory (ANT) has achieved a measure of popularity in the analysis of information systems. This paper looks at ANT from the perspective of the social realism of Margaret Archer. It argues that the main issue with ANT from a realist perspective is its adoption of a `flat' ontology, particularly with regard to human beings. It explores the value of incorporating concepts from ANT into a social realist approach, but argues that the latter offers a more productive way of approaching information systems
Experiences of the Flipped Classroom method Does it make students more motivated?
The aim of this paper is to highlight use of the flipped classroom method, and how teachers perceive this teaching practice. More specific the research focus on whether the teachersâ experience that the model leads to increased motivation in the students learning process. The background for the research is generated from qualitative interviews with teachers, and the empirical data obtained is from semi-structured interviews with these informants. The results show that the flipped classroom method in fact did increase participation and cooperation, which in turn generated motivation and willing students. The teachers got more time for guidance of each student, which provided more solid knowledge on each studentâs academic level
A Proposal of Business Model Design Parameters for Future Internet Carriers
Future Internet evolution requires innovative strategic stances and the design of original business models from actors involved in the ecosystem. The study focuses on Internet Carriers, recently striving to make their business sustainable, and proposes to enclose in a single reference framework all the critical levers, either consolidated or innovative, such actors can employ in order to design their value proposition, value network integration, and financial configuration. The framework grounds its findings on multiple case studies, and, by presenting an insightful list of business model parameters for Carriers, sheds light on key emerging strategic and tactical trends in the Internet interconnections market
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