I Thank You and All The Buildings That Make Me Feel so Small

I use drawing and 3D animation to access memories of intimacy and distinctive spaces of privacy. Prior to this year I primarily worked with drawing and video, but always keeping them separate. However with my most recent project, I Thank You, and All the Buildings that Make me Feel so Small, I decided to combine my practice of drawing and 3D animation. I used adobe photoshop to convert my drawings from physical objects into 3D objects in the digital sphere. The video you first encounter upon walking into my studio 400 Chambers and the video projected onto the ground Ivans Imaginary Aspen featured the practice of rendering drawings and converting them into 3D objects. The process of rendering and converting imagery was important to me as a form of personal documentation. Many of the buildings featured in the 400 Chambers video I’ve experienced first hand, either intimately, or from a distance. I choose to include 400 chambers, the residential building I grew up in because it was important to share the power of memory and a space that represents home as constantly evolving. Additionally the surrounding buildings are a reference to commuting through central park and the affected skyline by billionaires row. A collection of luxury residential buildings. What is the relationship between this sentiment of home and spaces of corporate modernism? How do private and intimate domestic spaces holding bodies create fullness? While also trying to confirm my personal connection to home through nurturing family, by notions of preparing food and communication. For Ivans Imaginary Aspen I looked at site specific material to explore my fathers relationship to home. I explored the relationship of my fathers connection to home by using the plot of land he built in Aspen, in the early 2000s. Including a charcoal drawing of the Aspen home was a way to show how I process Ivan’s ideal of a home. I surrounded my charcoal rendering with a collection of photos taken from a realtor website of the property. My drawing shows the house from only one angle, the front, while the photos were placed sporadically and show the house from a variety of angles. The second portion of the video shows a world with myself walking, arguing, and lying down. Additionally a video of CCTV footage showing the FDR during the middle of the day. In the video Bondi I made the decision to dedicate this piece to my mother, I wanted to engage with a world that was only about the two of us. I went through the process of filming her alone and filming us interacting, this was a form of cathartic documentation for me. Sharing these experiences was a way to reckon with the distance and closeness in our relationship in the past four years. Creating the work helped me review issues of home and family, and helped bring these issues to the physical form

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Thigh-length compression stockings and DVT after stroke

Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease

HIV futures 8: Protocol for a repeated cross-sectional and longitudinal survey of people living with HIV in Australia

© 2017 Power, Brown, Lyons, Thorpe, Dowsett and Lucke. Introduction: More than 27,000 Australians currently live with HIV. Most of these people have access to quality clinical care and antiretroviral treatment (ART) and can expect good general health. However, HIV-related stigma is a problem and many people living with HIV experience poorer than average mental health. Issues of aging are also of increasing concern. This paper describes the methods and sample for the HIV Futures 8 study, a national survey of people living with HIV in Australia that aimed to identify factors that support health and well-being among this population. HIV Futures 8 forms part of a series of cross-sectional surveys (The 'HIV Futures' studies) that have been repeated periodically since 1997. In the most recent survey, participants were able to opt into a prospective longitudinal study. Materials and equipment: HIV Futures 8 was open to people aged over 17 who were living with HIV. Data were collected in 2015/2016 using a self-complete survey that contained approximately 250 items related to physical and mental health, use of ART, HIV exposure and testing, financial security, social connectedness, relationships, life satisfaction, resilience, stigma, use of health and support services, and health literacy. To enable comparison of cross-sectional data over time, questionnaire items were consistent with those used in previous HIV Futures surveys. In HIV Futures 8, participants were invited to volunteer coded information that will allow longitudinal follow-up when participants complete subsequent HIV Futures surveys. The survey was advertised through the networks of HIV organizations, on social media and through HIV clinics and services. HIV Futures 8 was completed by 895 participants. This represents approximately 3.8% of the total number of people living with diagnosed HIV in Australia in 2014. Expected impact of the study on public health: Findings from HIV Futures 8 will contribute important insights into the complexity of factors that support physical and mental well-being among people living with HIV. The findings will also assist HIV services to align with broader public health goals related to increasing ART use and improving quality of life among people living with HIV

Irradiation creep in materials

SEcond editionInternational audienceA knowledge of the dimensional stability of reactor structural components, under irradiation conditions, is of major importance in the design of thermal, fast, and fusion reactors. When subjected to simultaneous mechanical loading and irradiation, structural materials exhibit a visco-plastic deformation phenomenon, referred to as irradiation creep, which can be more rapid than the deformation occurring out of irradiation. In this chapter, the phenomenology of this peculiar behavior is described after a short history of its discovery. Then, the theoretical mechanisms proposed in the literature during these past 60 years are presented, with a special focus on mechanisms based on stress induced preferred absorption of point defects by dislocation loops, dislocations and grain boundaries and on mechanisms based on climb-enhanced glide of dislocations. These mechanisms are discussed in the light of experimental evidences. Finally, irradiation creep in various materials, such as zirconium alloys, austenitic stainless steels, nickel-based alloys, ferritic steels, ferritic-martensitic and also graphite, is described