Early cardiac surgery in Malta

Cardiac surgery in Malta started in 1918 with the removal of a bullet from the left ventricle. The second operation took place almost thirty years later with the ligation of a persistent ductus arteriosus. During the next thirty five years close ties with the UK were fostered and Maltese patients were sent there for specialist treatment and surgery. By the early 1980's patients were being investigated in Malta and visiting teams from the UK performed surgery both here and abroad. This expanding service was a prelude to the setting up of a permanent local service, which began operations in 1995.peer-reviewe

Blogging the hyperlocal : the disruption and renegotiation of hegemony in Malta

This thesis examines how blogging is being deployed to disrupt institutional hegemony in Malta. The island state is an example of a hyperlocal context that includes strong political, ecclesiastical and media institutions, advanced take-up of social technologies and a popular culture adjusting to the promise of modernity represented by EU membership. Popular discourse is dominated by political partisanship and advocacy journalism, with Malta being the only European country that permits political parties to directly own broadcasting stations.The primary evidence in this study is derived from an analysis of online texts during an organic crisis that eventually led to a national referendum to consider the introduction of divorce legislation in Malta. Using netnography supplemented by critical discourse analysis, the research identifies a set of strategies bloggers used to resist, challenge and disrupt the discourse of a hegemonic alliance that included the ruling political party, the Roman Catholic Church and their media. The empirical results indicate that blogging in Malta is contributing to the erosion of the Church’s hegemony. Subjects that were previously marginalised as alternative are increasingly finding an online outlet in blog posts, social media networks and commentary on newspaper portals.Nevertheless, a culture of social surveillance together with the natural barriers of size and the permeability of the social web facilitates the appropriation of blogging by political blocs, who remain vigilant to the opportunity of extending their influence in new media to disrupt horizontal networks of information exchange. Blogging is increasingly operating as a component of a hybrid media ecosystem that thrives on reflexive cycles of entertainment: the independent newspaper media, for long an active partner in the hegemonic set up in Malta, are being transformed and rendered more permeable at the same time as their power and influence are being eroded. The study concludes that a new episteme is more likely to emerge through the symbiosis of hybrid media and reflexive waves of networked individualism than systemic, organised attempts at online political disruption

Transcatheter closure of Ventricular Septal defects in Malta : initial experience

Ventricular septal defects (VSD) consist of deficiencies of the wall separating the two ventricles. VSDs are the commonest congenital cardiac defects. Small VSDs rarely require intervention, however, larger defects cause ventricular volume overload with or without heart failure or pulmonary hypertension and may, therefore, require closure. Traditionally, closure has been an open heart surgical procedure. In recent years, various devices have been developed to close a wide variety of cardiac defects including atrial septal defects and patent arterial ducts through transcatheter interventional techniques. Recently, AGA Medical Corporation have introduced a range of Amplatzer VSD occluders which include specific devices for perimembranous (PM), muscular and post myocardial infarction (MI) VSDs. Atrial septal defect and patent foramen ovale closure has been carried out at St. Luke's Hospital in Malta for the past three years. This year, for the first time, we have closed three VSDs in three individuals; two children with large perimembranous defects and an elderly gentleman with a large post-MI VSD. This paper will discuss this technique and initial results.peer-reviewe

The rarest aortic arch anomaly : a case report of asymptomatic isolation of the subclavian artery

We present a rare case of isolated right subclavian artery arising from a right-sided patent arterial duct in a patient with DiGeorge syndrome, diagnosed on cardiac CT, along with potential complications and management approaches.peer-reviewe

Optical Probing of Ultrafast Laser-Induced Solid-to-Overdense-Plasma Transitions

Understanding the target dynamics during its interaction with a relativistic ultrashort laser pulse is a challenging fundamental multi-physics problem involving at least atomic and solid-state physics, plasma physics, and laser physics. Already, the properties of the so-called pre-plasma formed as the laser pulse's rising edge ionizes the target are complicated to access in experiments and modeling, and many aspects of this laser-induced transition from solid to overdense plasma over picosecond time scales are still open questions. At the same time, applications like laser-driven ion acceleration require precise knowledge and control of the pre-plasma because the efficiency of the acceleration process itself crucially depends on the target properties at the arrival of the relativistic intensity peak of the pulse. By capturing the dynamics of the initial stage of the interaction, we report on a detailed visualization of the pre-plasma formation and evolution. Nanometer-thin diamond-like carbon foils are shown to transition from solid to plasma during the laser rising edge with intensities < 10^16 W/cm^2. Single-shot near-infrared probe transmission measurements evidence sub-picosecond dynamics of an expanding plasma with densities above 10^23 cm^-3 (about 100 times the critical plasma density). The complementarity of a solid-state interaction model and a kinetic plasma description provides deep insight into the interplay of ionization, collisions, and expansion

Assessing current c-reactive protein sampling practices within the neonatal intensive care unit for neonates with suspected early onset sepsis

C-reactive protein is synthesized in the liver as part of the acute phase response activated in reaction to acute injury. It has been well established that CRP levels can be used as an acute marker of inflammation making it a useful aid in the diagnosis and management of sepsis. However, its use within the immediate postnatal period presents unique challenges. Aim: This study aimed to elucidate and standardise CRP blood sampling intervals in neonates with suspected early onset sepsis, and to describe the relationship between CRP results and final blood culture results, with the aim of implementing NICE recommendations within the local setting. Results: 316 infants were included in the study. 26.2% of neonates had at least 1 positive CRP value (>10 mg/dl) during the first 72 hours of life, with 12.7% resulting in a detectable bacterial growth on blood cultures. The largest percentage of positive CRP levels was obtained when blood was sampled within 18 to 24 hours post birth (30.3%). 40.7% of CRP samples were repeated between 24-48 hours of life. For 27.7% of neonates, a first positive CRP level of more than 10 mg/dl was noted after 24 hours of life. The results show the importance of maintaining adequate timing intervals between serial CRP levels, which should be taken as a baseline on admission and then repeated not before 12 hours of age, to achieve optimal sensitivity. Our current sampling practice might lead to falsely reassuring negative CRP values, affecting outcomes in sepsis management.peer-reviewe

The languages of Malta

The purpose of this volume is to present a snapshot of the state of the art of research on the languages of the Maltese islands, which include spoken Maltese, Maltese English and Maltese Sign Language. Malta is a tiny, but densely populated country, with over 422,000 inhabitants spread over only 316 square kilometers. It is a bilingual country, with Maltese and English enjoying the status of official languages. Maltese is a descendant of Arabic, but due to the history of the island, it has borrowed extensively from Sicilian, Italian and English. Furthermore, local dialects still coexist alongside the official standard language. The status of English as a second language dates back to British colonial rule, and just as in other former British colonies, a characteristic Maltese variety of English has developed. To these languages must be added Maltese Sign Language, which is the language of the Maltese Deaf community. This was recently recognised as Malta’s third official language by an act of Parliament in 2016. While a volume such as the present one can hardly do justice to all aspects of a diverse and complex linguistic situation, even in a small community like that of Malta, our aim in editing this book was to shed light on the main strands of research being undertaken in the Maltese linguistic context. Six of the contributions in this book focus on Maltese and explore a broad range of topics including: historical changes in the Maltese sound system; syllabification strategies; the interaction of prosody and gesture; the constraints regulating /t/-insertion; the productivity of derivational suffixes; and raising phenomena. The study of Maltese English, especially with the purpose of establishing the defining characteristics of this variety of English, is a relatively new area of research. Three of the papers in this volume deal with Maltese English, which is explored from the different perspectives of rhythm, the syntax of nominal phrases, and lexical choice. The last contribution discusses the way in which Maltese Sign Language (LSM) has evolved alongside developments in LSM research. In summary, we believe the present volume has the potential to present a unique snapshot of a complex linguistic situation in a geographically restricted area. Given the nature and range of topics proposed, the volume will likely be of interest to researchers in both theoretical and comparative linguistics, as well as those working with experimental and corpus-based methodologies. Our hope is that the studies presented here will also serve to pave the way for further research on the languages of Malta, encouraging researchers to also take new directions, including the exploration of variation and sociolinguistic factors which, while often raised as explanatory constructs in the papers presented here, remain under-researched

The languages of Malta

The purpose of this volume is to present a snapshot of the state of the art of research on the languages of the Maltese islands, which include spoken Maltese, Maltese English and Maltese Sign Language. Malta is a tiny, but densely populated country, with over 422,000 inhabitants spread over only 316 square kilometers. It is a bilingual country, with Maltese and English enjoying the status of official languages. Maltese is a descendant of Arabic, but due to the history of the island, it has borrowed extensively from Sicilian, Italian and English. Furthermore, local dialects still coexist alongside the official standard language. The status of English as a second language dates back to British colonial rule, and just as in other former British colonies, a characteristic Maltese variety of English has developed. To these languages must be added Maltese Sign Language, which is the language of the Maltese Deaf community. This was recently recognised as Malta’s third official language by an act of Parliament in 2016. While a volume such as the present one can hardly do justice to all aspects of a diverse and complex linguistic situation, even in a small community like that of Malta, our aim in editing this book was to shed light on the main strands of research being undertaken in the Maltese linguistic context. Six of the contributions in this book focus on Maltese and explore a broad range of topics including: historical changes in the Maltese sound system; syllabification strategies; the interaction of prosody and gesture; the constraints regulating /t/-insertion; the productivity of derivational suffixes; and raising phenomena. The study of Maltese English, especially with the purpose of establishing the defining characteristics of this variety of English, is a relatively new area of research. Three of the papers in this volume deal with Maltese English, which is explored from the different perspectives of rhythm, the syntax of nominal phrases, and lexical choice. The last contribution discusses the way in which Maltese Sign Language (LSM) has evolved alongside developments in LSM research. In summary, we believe the present volume has the potential to present a unique snapshot of a complex linguistic situation in a geographically restricted area. Given the nature and range of topics proposed, the volume will likely be of interest to researchers in both theoretical and comparative linguistics, as well as those working with experimental and corpus-based methodologies. Our hope is that the studies presented here will also serve to pave the way for further research on the languages of Malta, encouraging researchers to also take new directions, including the exploration of variation and sociolinguistic factors which, while often raised as explanatory constructs in the papers presented here, remain under-researched

The languages of Malta

The purpose of this volume is to present a snapshot of the state of the art of research on the languages of the Maltese islands, which include spoken Maltese, Maltese English and Maltese Sign Language. Malta is a tiny, but densely populated country, with over 422,000 inhabitants spread over only 316 square kilometers. It is a bilingual country, with Maltese and English enjoying the status of official languages. Maltese is a descendant of Arabic, but due to the history of the island, it has borrowed extensively from Sicilian, Italian and English. Furthermore, local dialects still coexist alongside the official standard language. The status of English as a second language dates back to British colonial rule, and just as in other former British colonies, a characteristic Maltese variety of English has developed. To these languages must be added Maltese Sign Language, which is the language of the Maltese Deaf community. This was recently recognised as Malta’s third official language by an act of Parliament in 2016. While a volume such as the present one can hardly do justice to all aspects of a diverse and complex linguistic situation, even in a small community like that of Malta, our aim in editing this book was to shed light on the main strands of research being undertaken in the Maltese linguistic context. Six of the contributions in this book focus on Maltese and explore a broad range of topics including: historical changes in the Maltese sound system; syllabification strategies; the interaction of prosody and gesture; the constraints regulating /t/-insertion; the productivity of derivational suffixes; and raising phenomena. The study of Maltese English, especially with the purpose of establishing the defining characteristics of this variety of English, is a relatively new area of research. Three of the papers in this volume deal with Maltese English, which is explored from the different perspectives of rhythm, the syntax of nominal phrases, and lexical choice. The last contribution discusses the way in which Maltese Sign Language (LSM) has evolved alongside developments in LSM research. In summary, we believe the present volume has the potential to present a unique snapshot of a complex linguistic situation in a geographically restricted area. Given the nature and range of topics proposed, the volume will likely be of interest to researchers in both theoretical and comparative linguistics, as well as those working with experimental and corpus-based methodologies. Our hope is that the studies presented here will also serve to pave the way for further research on the languages of Malta, encouraging researchers to also take new directions, including the exploration of variation and sociolinguistic factors which, while often raised as explanatory constructs in the papers presented here, remain under-researched

The languages of Malta

The purpose of this volume is to present a snapshot of the state of the art of research on the languages of the Maltese islands, which include spoken Maltese, Maltese English and Maltese Sign Language. Malta is a tiny, but densely populated country, with over 422,000 inhabitants spread over only 316 square kilometers. It is a bilingual country, with Maltese and English enjoying the status of official languages. Maltese is a descendant of Arabic, but due to the history of the island, it has borrowed extensively from Sicilian, Italian and English. Furthermore, local dialects still coexist alongside the official standard language. The status of English as a second language dates back to British colonial rule, and just as in other former British colonies, a characteristic Maltese variety of English has developed. To these languages must be added Maltese Sign Language, which is the language of the Maltese Deaf community. This was recently recognised as Malta’s third official language by an act of Parliament in 2016. While a volume such as the present one can hardly do justice to all aspects of a diverse and complex linguistic situation, even in a small community like that of Malta, our aim in editing this book was to shed light on the main strands of research being undertaken in the Maltese linguistic context. Six of the contributions in this book focus on Maltese and explore a broad range of topics including: historical changes in the Maltese sound system; syllabification strategies; the interaction of prosody and gesture; the constraints regulating /t/-insertion; the productivity of derivational suffixes; and raising phenomena. The study of Maltese English, especially with the purpose of establishing the defining characteristics of this variety of English, is a relatively new area of research. Three of the papers in this volume deal with Maltese English, which is explored from the different perspectives of rhythm, the syntax of nominal phrases, and lexical choice. The last contribution discusses the way in which Maltese Sign Language (LSM) has evolved alongside developments in LSM research. In summary, we believe the present volume has the potential to present a unique snapshot of a complex linguistic situation in a geographically restricted area. Given the nature and range of topics proposed, the volume will likely be of interest to researchers in both theoretical and comparative linguistics, as well as those working with experimental and corpus-based methodologies. Our hope is that the studies presented here will also serve to pave the way for further research on the languages of Malta, encouraging researchers to also take new directions, including the exploration of variation and sociolinguistic factors which, while often raised as explanatory constructs in the papers presented here, remain under-researched