A Structure for a Voice

This paper is to convey the evolving structure of student voice, which is a current debate, but through a Structure for a Voice based on four models. The Architectural Association , also referred to as the AA, the oldest independent architecture school in the United Kingdom, originally founded in 1847 by “a pack of troublesome students” The AA thesis A Structure for a Voice based on a famous composers work, studied when I visited Venice to work my student was his daughter, his work has influenced all my work since then. Parliament Project This was a post graduate study supervised by Professor Diane Lewis of Cooper Union , New York, being a key formative structure for a voice. Dr. Maddalena Taras and Professor Caroline Walker-Gleaves taught me FHEA in 2008 but I had studied Dr. Taras and purchased her book earlier around 2005 including the phrase, The Student Voice

Validity of Telemetric-Derived Measures of Heart Rate Variability: A Systematic Review

Heart rate variability (HRV) is a widely accepted indirect measure of autonomic function with widespread application across many settings. Although traditionally measured from the ‘gold standard’ criterion electrocardiography (ECG), the development of wireless telemetric heart rate monitors (HRMs) extends the scope of the HRV measurement. However, the validity of telemetric-derived data against the criterion ECG data is unclear. Thus, the purpose of this study was twofold: (a) to systematically review the validity of telemetric HRM devices to detect inter-beat intervals and aberrant beats; and (b) to determine the accuracy of HRV parameters computed from HRM-derived inter-beat interval time series data against criterion ECG-derived data in healthy adults aged 19 to 62 yrs. A systematic review of research evidence was conducted. Four electronic databases were accessed to obtain relevant articles (PubMed, EMBASE, MEDLINE and SPORTDiscus. Articles published in English between 1996 and 2016 were eligible for inclusion. Outcome measures included temporal and power spectral indices (Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996). The review confirmed that modern HRMs (Polar® V800™ and Polar® RS800CX™) accurately detected inter-beat interval time-series data. The HRV parameters computed from the HRM-derived time series data were interchangeable with the ECG-derived data. The accuracy of the automatic in-built manufacturer error detection and the HRV algorithms were not established. Notwithstanding acknowledged limitations (a single reviewer, language bias, and the restricted selection of HRV parameters), we conclude that the modern Polar® HRMs offer a valid useful alternative to the ECG for the acquisition of inter-beat interval time series data, and the HRV parameters computed from Polar® HRM-derived inter-beat interval time series data accurately reflect ECG-derived HRV metrics, when inter-beat interval data are processed and analyzed using identical protocols, validated algorithms and software, particularly under controlled and stable conditions

L'attitude

Project: John Tyrrell has researched, drawn, designed and managed three completed models, made by University of Sunderland students. Three key projects of C19 architectural engineer Isambard Brunel's greatest acheivements for a touring exhibition, celebrating his work, 'Isambard Kingdom Brunel: Recent Works'. The Design Museum, London, U.K. 2000-2002. Recognised as the worlds first industrial designer. Brunel's work included the Royal Albert Bridge at Saltash, which connects Devon and Cornwall over the river Tamar. Commissioned by the Design Museum, Tyrrell designed abstract models using various media, that could be touched, including a 25 foot long version of the Royal Albert Bridge as well as a full scale section through. There is also a structural model of Brunel's prefabricated Renkio Hospital. Brunel's consultant in the design was Florence Nightingale, OM, RRC, celebrated English social reformer and statistician, and the founder of modern nursing

Pret-a-Dessin/Drawing-in-a-box

Abstract: Pret-a-Dessin / Drawing-in-a-box: a new technique being developed as part of the Heart Group to assist the development of autistic spectrum animators who will benefit through the process. A case-study where a drawing structure developed for a Big Draw workshop run this year as one of several projects John organized for the Drawing Society. The structure is an installation which permits five to draw a portrait where the view is focused and controlled. This process has potential benefits for autistic spectrum ESPA students . The idea is that the box blocks the visual overload and divergence beyond the frame. Developing beyond the frame, Pret-a-Dessin / Drawing-in-a-box  is adapted as a tool where both the subject and the animator are able to move three-dimensionally in the process of drawing for animation. This case study is a development from a previous paper ‘Reception Animation; The interaction of reception theory within animation and drawing context.

To Fit the New Art: 7 years of the Curating Art After New Media Curators’ Updating Course

This publication is the celebration of a work-in-progress: the professional updating short course for international curators, Curating Art After New Media. As the course has been based on the generosity of many curators sharing their knowledge, the intent of this publication is to further share emerging new media art practices, and to discuss how curators can best fit their practices, so that audiences can engage with this exciting art. The one-week annual course ran in London 2014-20, and for obvious reasons, 2021 took the form of an online reprise. The course was instigated by Sarah Cook and Beryl Graham of CRUMB at the University of Sunderland, and was originally an off-campus section of the MA Curating course, also available to international curators. PhD students from the University also co-programmed the course each year. Course attendees have included curators and researchers from Hong Kong, Bahrain, India, the USA, Canada, Austria, the Netherlands, Greece, Ireland, France, and the UK, and have directly fed into impressive subsequent curatorial practice and projects. The organisations that we visited in London targeted a broad range of scales (Tate, Furtherfield), disciplines (Wellcome Collection, Iniva), and sectors (MachinesRoom, The Open Data Institute (ODI)). This strategy aimed to reflect the tendency of new media to cross many boundaries, where curators must also follow. This ongoing process is reflected in the nature of the document, i.e. this is more of a collection of notes and reflections on a currently developing field than an academic closed position. By making the publication available as a free PDF, we hope to continue to get feedback and comments, which will build upon this knowledge

An intercontinental analysis of food safety culture in view of food safety governance and national values

Taking food safety culture into account is a promising way to improve food safety performance in the food industry. Food safety culture (FS-culture) research is expanding from an organisational perspective to include characteristics of the internal and external company environment. In this study, the prevailing food safety culture in 17 food companies from four countries on three continents (Africa, Asia and Europe) was assessed in view of food safety governance and national values. The internal environment characteristics, i.e. food safety vision, food safety program and food production system vulnerability, were also assessed. Statistical analysis revealed little variation in FS-culture scores between the companies within the same country. Overall the FS- culture for Greek and Zambian companies was scored proactive, while for Chinese and Tanzanian companies an active score was achieved. Both the internal and external company environment seemed to influence the pre- vailing FS-culture. Cluster analysis showed that Tanzanian and Zambian companies exhibited similarities in the implementation of food safety programs, and in their national values and food safety governance as compared to Greece and China. Food safety governance was reflected in the food safety programs and supportiveness of the organisation to food safety and hygiene. All cultural dimensions were correlated with risk perceptions, with masculinity and long-term orientation also significantly correlated with the enabling conditions and attitude. Understanding how national values and food safety governance approaches differently influence food safety culture is expected to enable formulation of best approaches tailored for companies operating in countries with different company environments, to improve food safety performance

From Ovid to Covid: The metamorphosis of Advanced Decisions to Refuse Treatment into a safeguarding issue

Purpose This paper aims to examine Advance Decisions to Refuse Treatment (ADRTs) in the context of the COVID-19 pandemic. We consider the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff. Design/methodology/approach The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs. Findings ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings. Originality This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made, and of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis. Practical implications We make recommendations that reflexive training and awareness becomes the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic